Organization Active NPI

James W. Theen, MD PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Medford, OR
National Provider Identifier
1225225113
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD16267 Issued in OR
Legal business name
JAMES W. THEEN, MD PC
Practice address
935 Town Centre Dr
Suite B
Medford, OR 97504-6172
Phone
(541) 245-6050
NPI assigned
Sep 25, 2007
Last updated
Sep 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Dr. James William Theen, MD
Title
President
Phone
(541) 245-6050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD16267 OR Primary

Addresses

Primary practice location

935 Town Centre Dr
Suite B
Medford, OR 97504-6172

Mailing address

935 Town Centre Dr
Suite B
Medford, OR 97504-6172
Phone (541) 245-6050

Other identifiers 1

IdentifierTypeStateIssuer
R104728OtherORMEDICARE ID-PIN

National Provider Directory

National Provider Directory

Locations

935 Town Centre Dr
Ste B
Medford, OR 97504
Phone (541) 245-6050

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": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1225225113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 TOWN CENTRE DR",
            "address_2": "SUITE B",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046172",
            "telephone_number": "541-245-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 TOWN CENTRE DR",
            "address_2": "SUITE B",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046172",
            "telephone_number": "541-245-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES W. THEEN, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "THEEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-245-6050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OR",
            "license": "MD16267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-PIN",
            "identifier": "R104728",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.