NPIMap

Individual provider Active NPI

John Sutherland Oglesby, M.D.

  • Obstetrics & Gynecology Physician
  • Shelton, WA
National Provider Identifier
1245385962
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD00047723 Issued in WA
Practice address
1701 N 13TH St
Shelton, WA 98584-2077
Phone
(360) 426-2653
Fax
(888) 985-0681
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 44235 WI
Obstetrics & Gynecology Physician 207V00000X 63060 TN
Obstetrics & Gynecology Physician 207V00000X MD214999 OR
Obstetrics & Gynecology Physician 207V00000X 373956-1205 UT
Obstetrics & Gynecology Physician 207V00000X MD00047723 WA Primary

Addresses

Primary practice location

1701 N 13TH St
Shelton, WA 98584-2077

Mailing address

1900 Woodland Dr
Coos Bay, OR 97420-2099
Phone (541) 267-5151

Other practice location 1

930 SW Abbey St Ste B
Newport, OR 97365-4820
Phone (541) 574-7235

Other practice location 2

406 Welch St
Silverton, OR 97381-1934
Phone (503) 873-8853

Other practice location 3

1900 Woodland Dr
Coos Bay, OR 97420-2099
Phone (541) 267-5151

Other identifiers 1

IdentifierTypeStateIssuer
34178400MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joglesby322416@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, UT, TN, OR4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20070522000690 WA Practitioner - Obstetrics/Gynecology 2365493558 Reassigns benefits to 1 organization
I20080814000287 UT Practitioner - Obstetrics/Gynecology 2365493558 Reassigns benefits to 1 organization
I20210528001132 TN Practitioner - Obstetrics/Gynecology 2365493558 Reassigns benefits to 1 organization
I20230616001456 OR Practitioner - Obstetrics/Gynecology 2365493558 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samaritan Pacific Health Services IncGroup PAC ID 2466353529, shared by 7 NPIs, 86 clinicians

Practice addresses (Care Compare)

1000 3Rd St
Tillamook, OR 97141-3430
Phone (503) 815-2260

1011 3Rd St
Tillamook, OR 97141-8292
Phone (503) 915-2280

1701 N 13TH St
Shelton, WA 98584-2077
Phone (360) 426-2653

930 SW Abbey St
Newport, OR 97365-4820
Phone (541) 265-2244

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD214999ORMDObstetrics & Gynecology Physician
MD00047723WAMDObstetrics & Gynecology Physician
44235WIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Medical Foundation of Tillamook CurrentSince Jan 1, 2026 Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince Jun 7, 2023 Accepting new patients
Public Hospital District No 1 of Mason County CurrentSince Jun 1, 2024 Accepting new patients
Mid-Valley Healthcare, Inc. CurrentSince Jan 26, 2026 Accepting new patients
Sweetwater Hospital Association CurrentSince Feb 23, 2022 Accepting new patients
Silverton Health CurrentSince Apr 24, 2024 Accepting new patients
Public Hospital District No 1 of Mason County Current Accepting new patients
Samaritan Pacific Health Services, Inc. Current Accepting new patients
Sweetwater Hospital Association Obstetrics & Gynecology CurrentSince Feb 23, 2022 Accepting new patients
Samaritan Pacific Health Services, Inc Current Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince Jun 7, 2023 Accepting new patients
Silverton Health Current Accepting new patients
Silverton Health Obstetrics & Gynecology CurrentSince Apr 24, 2024 Accepting new patients
North Bend Medical Center Inc CurrentSince Jul 15, 2023 Accepting new patients
North Bend Medical Center Inc CurrentSince Jul 15, 2023 Accepting new patients
Samaritan Pacific Health Services Inc Obstetrics & Gynecology CurrentSince Sep 4, 2025 Accepting new patients
Physician Group of Utah Inc CurrentSince Feb 1, 2010 Accepting new patients
Mid-Valley Healthcare Inc CurrentSince Jan 26, 2026 Accepting new patients
Public Hospital District No 1 of Mason County Wa CurrentSince Jun 1, 2024 Accepting new patients
Samaritan Pacific Health Services, Inc CurrentSince Sep 4, 2025 Accepting new patients
Sunnyside Pediatrics Past Accepting new patients

Locations

1900 Woodland Dr
Coos Bay, OR 97420
Phone (541) 267-5151

930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244

930 SW Abbey St
Ste B
Newport, OR 97365
Phone (541) 574-7235

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667

406 Welch St
Silverton, OR 97381
Phone (503) 364-3787

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

1000 3rd St
#M
Tillamook, OR 97141
Phone (503) 815-2260

1011 3rd St
Tillamook, OR 97141
Phone (503) 842-2001

1000 3rd St
Tillamook, OR 97141
Phone (503) 251-6129

304 Church St
Sweetwater, TN 37874
Phone (865) 213-8200

1255 Highway 411
Ste 6
Vonore, TN 37885
Phone (865) 213-8401

24 S 1100 E
Ste 302
Salt Lake Cty, UT 84102
Phone (801) 478-0010

2530 W 4700 S
Ste B8
Taylorsville, UT 84129
Phone (801) 967-5866

3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810

1701 N 13th St
Shelton, WA 98584
Phone (360) 426-2653

901 Mountain View Dr
Shelton, WA 98584
Phone (360) 426-1611

Organizations & group practices 23

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

View all 23

Hospital & facility affiliations 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1245385962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 WOODLAND DR",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202099",
            "telephone_number": "541-267-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N 13TH ST",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985842077",
            "telephone_number": "360-426-2653",
            "fax_number": "888-985-0681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 SW Abbey St Ste B",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "OR",
            "postal_code": "973654820",
            "country_code": "US",
            "telephone_number": "541-574-7235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "406 Welch St",
            "address_purpose": "LOCATION",
            "city": "Silverton",
            "state": "OR",
            "postal_code": "973811934",
            "country_code": "US",
            "telephone_number": "503-873-8853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Woodland Dr",
            "address_purpose": "LOCATION",
            "city": "Coos Bay",
            "state": "OR",
            "postal_code": "974202099",
            "country_code": "US",
            "telephone_number": "541-267-5151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGLESBY",
        "first_name": "JOHN",
        "middle_name": "SUTHERLAND",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "44235",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "63060",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD214999",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "373956-1205",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD00047723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34178400",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joglesby322416@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "930 SW Abbey St Ste B",
            "city": "Newport",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973654820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shelton, WA

Sources for this page

Verify at the official NPI Registry.