Organization Active NPI

Ehg of Oregon PC

Doing business as Essential Healthcare Group

  • Internal Medicine Physician
  • Bend, OR
National Provider Identifier
1215647029
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EHG OF OREGON PC
Doing business as
Essential Healthcare Group
Practice address
1715 SW Chandler Avenue
Suite 100
Bend, OR 97702-3615
Phone
(541) 550-7223
Fax
(541) 550-7224
NPI assigned
Dec 2, 2022
Last updated
Mar 3, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
EHG OF OREGON PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Katherine Judkins
Title
Vice President
Phone
(615) 240-3770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1715 SW Chandler Avenue
Suite 100
Bend, OR 97702-3615

Mailing address

1A Burton Hills Boulevard
Attn: Provider Enrollment
Nashville, TN 37215-6187
Phone (615) 263-5576

Other names 1

  • Essential Healthcare Group Doing business as

National Provider Directory

National Provider Directory
Part of
Ehg of Oregon PC

Locations

1715 SW Chandler Ave
Ste 100
Bend, OR 97702
Phone (541) 388-3006

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677801600000",
    "number": "1215647029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BOULEVARD",
            "address_2": "ATTN: PROVIDER ENROLLMENT",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156187",
            "telephone_number": "615-263-5576",
            "fax_number": "615-490-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 SW CHANDLER AVENUE",
            "address_2": "SUITE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023615",
            "telephone_number": "541-550-7223",
            "fax_number": "541-550-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EHG OF OREGON PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EHG OF OREGON PC",
        "enumeration_date": "2022-12-02",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A",
        "authorized_official_last_name": "JUDKINS",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-240-3770"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Essential Healthcare Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Essential Healthcare Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.