Klamath Fa Mily Practice Center PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KLAMATH FA MILY PRACTICE CENTER PC

Practice address

2310 Mountain View Blvd
Klamath Falls, OR 97601-1134

Phone

(541) 238-6432

Fax

(541) 539-6439

NPI assigned

Oct 6, 2005

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jon G McKellar, MD

Title

President

Phone

(541) 238-6462

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Charles Daniel Bury, MD

  • Family Medicine Physician
  • Klamath Falls, OR
  • NPI 1174511810
  NPD
• Wendell Charles Heidinger, MD

  • Family Medicine Physician
  • Grants Pass, OR
  • NPI 1326184607
  NPD
• Kea Michelle Crandall, MD

  • Hospitalist Physician
  • Albany, OR
  • NPI 1205803764

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1245228980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5234",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976010203",
            "telephone_number": "541-238-6462",
            "fax_number": "541-539-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 MOUNTAIN VIEW BLVD",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011134",
            "telephone_number": "541-238-6432",
            "fax_number": "541-539-6439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLAMATH FA MILY PRACTICE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MCKELLAR",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-238-6462",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Klamath County Fire District No 1
• Klamath County Health Dept.
• Klamath County Juvenile Department
• Klamath County School District
• Klamath County School District
• Klamath Falls Chiropractic LLC
• Klamath Falls City Schools
• Klamath Falls City Schools
• Klamath Falls City Schools
• Klamath Falls City Schools-Early Childhood Intervention

• Family Medicine Physician in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.