Individual provider Active NPI

Colton Joseph Danforth, PA-C

  • Medical Physician Assistant
  • Reedsport, OR
National Provider Identifier
1225880826
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA218705 Issued in OR
Practice address
620 Ranch Rd
Reedsport, OR 97467-1796
Phone
(541) 271-2163
Fax
(541) 271-4058
NPI assigned
Apr 5, 2024
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA218705 OR Primary

Addresses

Primary practice location

620 Ranch Rd
Reedsport, OR 97467-1796

Mailing address

1813 W Harvard Ave Ste 310
Roseburg, OR 97471-2756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240605002964 OR Practitioner - Physician Assistant 2769924752 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Florida International Univ, College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lower Umpqua Hospital DistrictGroup PAC ID 6800703562, 42 clinicians

Practice addresses (Care Compare)

600 Ranch Rd
Reedsport, OR 97467-1720
Phone (541) 271-2171

620 Ranch Rd
Reedsport, OR 97467-1720
Phone (541) 271-2163

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA218705ORMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lower Umpqua Hospital District CurrentSince Apr 22, 2024 Accepting new patients
Lower Umpqua Hospital District CurrentSince Apr 22, 2024 Accepting new patients
Paul D. Reicherter, MD, PC CurrentSince Apr 1, 2024 Accepting new patients
Lower Umpqua Hospital District Past Accepting new patients
Lower Umpqua Hospital District Past Accepting new patients

Locations

600 Ranch Rd
Reedsport, OR 97467
Phone (541) 271-2171

620 Ranch Rd
Reedsport, OR 97467
Phone (541) 271-2163

1813 W Harvard Ave
Ste 310
Roseburg, OR 97471
Phone (541) 672-7546

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1225880826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 W HARVARD AVE STE 310",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 RANCH RD",
            "city": "REEDSPORT",
            "state": "OR",
            "postal_code": "974671796",
            "telephone_number": "541-271-2163",
            "fax_number": "541-271-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANFORTH",
        "first_name": "COLTON",
        "middle_name": "JOSEPH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA218705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reedsport, OR

Sources for this page

Verify at the official NPI Registry.