NPIMap

Individual provider Active NPI

Jefferson A Hamlin, MD

  • Diagnostic Radiology Physician
  • Corvallis, OR
National Provider Identifier
1255398681
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD19743 Issued in OR
Practice address
2314 NW Kings Blvd
Corvallis, OR 97330-3925
Phone
(541) 758-5047
Fax
(541) 758-3713
NPI assigned
Apr 28, 2006
Last updated
Nov 5, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD19743 OR Primary

Addresses

Primary practice location

2314 NW Kings Blvd
Corvallis, OR 97330-3925

Mailing address

2314 NW Kings Blvd
PO Box 1418
Corvallis, OR 97330-3925
Phone (541) 758-5047

Other identifiers 1

IdentifierTypeStateIssuer
150046MedicaidOR

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
I20090303000255 OR Practitioner - Diagnostic Radiology 8224038161 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Loma Linda University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Corvallis Radiology PCGroup PAC ID 2062300676, 54 clinicians
Samaritan Pacific Health Services IncGroup PAC ID 2466353529, shared by 7 NPIs, 86 clinicians

Practice addresses (Care Compare)

1046 6TH Ave SW
Albany, OR 97321-1916
Phone (541) 758-5047

1700 Geary St SE
Suite 400
Albany, OR 97322-6842
Phone (541) 812-5655

3043 NE 28TH St
Lincoln City, OR 97367-4518
Phone (541) 994-3661

3600 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (541) 758-5047

3615 NW Samaritan Dr
Suite 101
Corvallis, OR 97330-3756
Phone (541) 768-5187

3680 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (541) 758-5047

505 N Santiam Hwy
Lebanon, OR 97355-4363
Phone (541) 451-6950

5234 SW Philomath Blvd
Corvallis, OR 97333-1042
Phone (541) 768-7300

525 N Santiam Hwy
Lebanon, OR 97355-4363
Phone (541) 258-2101

845 SW 30TH St
Corvallis, OR 97331-8629
Phone (541) 768-7700

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.21 of 100Reported as group
Quality
85.3
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD19743ORMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Pacific Health Services, Inc CurrentSince Jan 15, 2018 Accepting new patients
Samaritan Pacific Health Services, Inc. Current Accepting new patients
East Linn MRI, LLC CurrentSince Oct 13, 2008 Accepting new patients
Samaritan Pacific Health Services, Inc Current Accepting new patients
Corvallis Radiology PC Diagnostic Radiology CurrentSince Apr 19, 1996 Accepting new patients
Corvallis MRI a Joint Venture CurrentSince Feb 23, 2012 Accepting new patients
Samaritan Pacific Health Services Inc CurrentSince Jan 15, 2018 Accepting new patients
Good Samaritan Hospital Corvallis Past Accepting new patients

Locations

2314 NW Kings Blvd
#A
Corvallis, OR 97330
Phone (541) 286-4030

3600 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 768-4906

777 NW 9th St
Ste 210C
Corvallis, OR 97330
Phone (541) 452-8002

938 NW Kings Blvd
Corvallis, OR 97330
Phone (541) 758-5407

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

Interoperability endpoints

  • Direct secure messaging: jhamlin7693@samhealth.direct-ci.com

Organizations & group practices 8

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 74

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

View all 74

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1255398681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 NW KINGS BLVD",
            "address_2": "PO BOX 1418",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303925",
            "telephone_number": "541-758-5047",
            "fax_number": "541-758-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 NW KINGS BLVD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303925",
            "telephone_number": "541-758-5047",
            "fax_number": "541-758-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMLIN",
        "first_name": "JEFFERSON",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD19743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150046",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.