Oregon Ear Nose and Throat Surgery

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

OREGON EAR NOSE AND THROAT SURGERY

Practice address

920 Royal Ave
Medford, OR 97504-6169

Phone

(541) 779-7331

Fax

(541) 779-3522

NPI assigned

Jul 18, 2011

Last updated

Nov 16, 2011By 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

Ms. Janney M Marin

Title

Administrator

Phone

(541) 494-0500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Listed as

Oregon Ear Nose and Throat SurgeryCCN 38C0001098

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 4

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.

• David W Chambers, MD

  • Otolaryngology Physician
  • Medford, OR
  • NPI 1619993953
  Medicare reassignment NPD
• Jonathan H Lee, M.D.

  • Otolaryngology Physician
  • Medford, OR
  • NPI 1265410211
  Medicare reassignment NPD
• Jay B Reeck, MD

  • Otolaryngology Physician
  • Medford, OR
  • NPI 1972529212
  Medicare reassignment NPD
• Sean J Traynor, MD

  • Otolaryngology Physician
  • Medford, OR
  • NPI 1194741439
  Medicare reassignment NPD

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1275821746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 ROYAL AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046169",
            "telephone_number": "541-779-7331",
            "fax_number": "541-779-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 ROYAL AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046169",
            "telephone_number": "541-779-7331",
            "fax_number": "541-779-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON EAR NOSE AND THROAT SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-18",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "MARIN",
        "authorized_official_first_name": "JANNEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "541-494-0500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oregon Advanced Imaging, LLC
• Oregon Advanced Imaging, LLC
• Oregon Advanced Imaging, LLC
• Oregon Advanced Imaging, LLC
• Oregon CVS Pharmacy LLC (CVS Pharmacy #16159)
• Oregon Health Sciences University
• Oregon Internal Medicine, LLC.
• Oregon Pain Advisors, LLC
• Oregon Retina Specialists, LLC (Oregon Retina Center)
• Oregon Shoulder Institute LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.