Organization Active NPI

Arlan G. Zastrow, MD, LLC

  • Clinic/Center
  • Roseburg, OR
National Provider Identifier
1225352032
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MD11889 Issued in OR
Legal business name
ARLAN G. ZASTROW, MD, LLC
Practice address
320 NW Medical Loop
Roseburg, OR 97471-1645
Phone
(541) 673-0968
Fax
(541) 673-0080
NPI assigned
Mar 23, 2010
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Barbara Zastrow
Title
Office Manager
Phone
(541) 673-0968

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MD11889 OR Primary

Addresses

Primary practice location

320 NW Medical Loop
Roseburg, OR 97471-1645

Mailing address

320 NW Medical Loop
Roseburg, OR 97471-1645
Phone (541) 673-0968

Other identifiers 4

IdentifierTypeStateIssuer
217539MedicaidOR
004390000OtherORBLUE CROSS BLUE SHIELD
3041437OtherORPACIFIC SOURCE
P00000069994OtherORODS

National Provider Directory

National Provider Directory

Locations

320 NW Medical Loop
Roseburg, OR 97471
Phone (541) 440-2590

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": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1225352032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 NW MEDICAL LOOP",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711645",
            "telephone_number": "541-673-0968",
            "fax_number": "541-673-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 NW MEDICAL LOOP",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711645",
            "telephone_number": "541-673-0968",
            "fax_number": "541-673-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLAN G. ZASTROW, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ZASTROW",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-673-0968"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "MD11889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217539",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "004390000",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC SOURCE",
            "identifier": "3041437",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ODS",
            "identifier": "P00000069994",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.