Organization Active NPI

Stephen W. Teal, MD,Facs, PC

  • Specialist
  • McMinnville, OR
National Provider Identifier
1235538174
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
8727 Issued in OR
Legal business name
STEPHEN W. TEAL, MD,FACS, PC
Practice address
395 NW Valley View CT
McMinnville, OR 97128-5427
Phone
(503) 434-6695
Fax
(503) 434-5372
NPI assigned
Aug 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

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

Authorized official

Name
Dr. Stephen Wiley Teal, M.D.
Title
Owner
Phone
(503) 434-6695

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 8727 OR Primary

Addresses

Primary practice location

395 NW Valley View CT
McMinnville, OR 97128-5427

Mailing address

395 NW Valley View CT
McMinnville, OR 97128-5427
Phone (503) 434-6695

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1235538174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 NW VALLEY VIEW CT",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971285427",
            "telephone_number": "503-434-6695",
            "fax_number": "503-434-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 NW VALLEY VIEW CT",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971285427",
            "telephone_number": "503-434-6695",
            "fax_number": "503-434-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN W. TEAL, MD,FACS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "TEAL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "WILEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-434-6695",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "8727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.