Active NPI
Phillip C. Histand, M.D.
- Internal Medicine Physician
- Albany, OR
National Provider Identifier
1215979562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD16275
- Practice address
- 1700 Geary St SE
Albany, OR 97322-6842 - Phone
- (541) 812-5500
- Fax
- (541) 812-5505
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD16275 | OR | Primary |
Addresses
Primary practice location
1700 Geary St SE
Albany, OR 97322-6842
Mailing address
1700 Geary St SE
Albany, OR 97322-6842
Phone (541) 812-5500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD16275 | OR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Hospital Corvallis | Past | Accepting new patients | |
| Firstcare Medical Foundation | Internal Medicine | Past | Accepting new patients |
| Salem Emergency Physicians Service, PC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Corvallis, OR
- NPI 1477851186
-
- Emergency Medicine Physician
- Salem, OR
- NPI 1063454395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1215979562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 GEARY ST SE",
"city": "ALBANY",
"state": "OR",
"postal_code": "973226842",
"telephone_number": "541-812-5500",
"fax_number": "541-812-5505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 GEARY ST SE",
"city": "ALBANY",
"state": "OR",
"postal_code": "973226842",
"telephone_number": "541-812-5500",
"fax_number": "541-812-5505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HISTAND",
"first_name": "PHILLIP",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD16275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.