NPIMap

Individual provider Active NPI

Stacey J Porterfield, DO

  • Family Medicine Physician
  • White City, OR
National Provider Identifier
1255300992
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO200874 Issued in OR
Practice address
8385 Division Rd
White City, OR 97503-1176
Phone
(541) 826-5853
Fax
(541) 826-5843
NPI assigned
Mar 15, 2006
Last updated
Jul 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO200874 OR Primary

Addresses

Primary practice location

8385 Division Rd
White City, OR 97503-1176

Mailing address

1000 E Main St
Medford, OR 97504-7667
Phone (541) 773-3863

Other practice location 1

722 Laurel Ave
Butte Falls, OR 97522
Phone (541) 842-7799

Other identifiers 1

IdentifierTypeStateIssuer
96652268MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200826003405 OR Practitioner - Osteopathic Manipulative MedicinePractitioner - Family Practice 4183689698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rogue Community HealthGroup PAC ID 1557266236, 31 clinicians

Practice addresses (Care Compare)

19 Myrtle St
Medford, OR 97504-7337
Phone (541) 773-3863

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Rogue Community Health CurrentSince Jan 30, 2024 Accepting new patients
Rogue Community Health Past Accepting new patients
Barrick Family Practice Family Medicine Past Accepting new patients
Rogue Community Health Past Accepting new patients

Locations

1000 E Main St
Medford, OR 97504
Phone (541) 842-7704

1221 Disk Dr
Medford, OR 97501

19 Myrtle St
Medford, OR 97504
Phone (541) 773-4563

8385 Division Rd
White City, OR 97503
Phone (541) 500-0989

Interoperability endpoints

  • Direct secure messaging: sporterfield317508@direct.ochin.org

Organizations & group practices 4

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 5

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1255300992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E MAIN ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047667",
            "telephone_number": "541-773-3863",
            "fax_number": "541-776-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8385 DIVISION RD",
            "city": "WHITE CITY",
            "state": "OR",
            "postal_code": "975031176",
            "telephone_number": "541-826-5853",
            "fax_number": "541-826-5843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "722 Laurel Ave",
            "address_purpose": "LOCATION",
            "city": "Butte Falls",
            "state": "OR",
            "postal_code": "97522",
            "country_code": "US",
            "telephone_number": "541-842-7799",
            "fax_number": "541-842-7798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTERFIELD",
        "first_name": "STACEY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2021-07-09",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO200874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "96652268",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White City, OR

Sources for this page

Verify at the official NPI Registry.