Oregon Internal Medicine, LLC.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

DO22277 Issued in OR

Legal business name

OREGON INTERNAL MEDICINE, LLC.

Practice address

2380 W Main St
Suite, a
Medford, OR 97501-2390

Phone

(541) 858-7183

NPI assigned

Jul 15, 2010

Organization subpart

No

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

Authorized official

Name

Gregory Scott Grunwald, D.O.NPI 1215998679

Title

Manager

Phone

(541) 858-7183

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18178/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory Grunwald, DO

  • Internal Medicine Physician
  • Medford, OR
  • NPI 1215998679
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1265745541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 W MAIN ST",
            "address_2": "SUITE, A",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975012390",
            "telephone_number": "541-858-7183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 W MAIN ST",
            "address_2": "SUITE, A",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975012390",
            "telephone_number": "541-858-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON INTERNAL MEDICINE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-15",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "GRUNWALD",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "541-858-7183",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "DO22277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oregon Advanced Imaging, LLC
• Oregon Advanced Imaging, LLC
• Oregon CVS Pharmacy LLC
• Oregon Ear Nose and Throat Surgery
• Oregon Health Sciences University
• Oregon Pain Advisors, LLC
• Oregon Retina Specialists, LLC
• Oregon Shoulder Institute LLC
• Oregon Sleep Apnea & Snoring Center LLC
• Oregon Surgical Specialists PC

• Clinic/Center in Medford, OR
• Providers in Medford, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.