Individual provider Active NPI

Harold D Lowry, MD

  • Family Medicine Physician
  • Port Orford, OR
National Provider Identifier
1285682195
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD192768 Issued in OR
Practice address
1312 Tichenor St
Port Orford, OR 97465-8776
Phone
(541) 347-2529
Fax
(541) 347-9196
NPI assigned
May 4, 2006
Last updated
Oct 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 14168 AZ
Pediatrics Physician 208000000X MD192768 OR
Family Medicine Physician 207Q00000X MD192768 OR Primary

Addresses

Primary practice location

1312 Tichenor St
Port Orford, OR 97465-8776

Mailing address

1010 1St St SE Ste 230
Bandon, OR 97411-9309
Phone (541) 347-2529

Other identifiers 1

IdentifierTypeStateIssuer
500772421MedicaidOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200204001760 OR Practitioner - Family Practice 3274669890 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bandon Community Health Ctr CurrentSince Dec 31, 2019 Accepting new patients
Bandon Community Health Center Current Accepting new patients
Bandon Community Health Ctr CurrentSince Dec 31, 2019 Accepting new patients

Locations

1010 1st St SE
Ste 110
Bandon, OR 97411

1010 1st St SE
Ste 230
Bandon, OR 97411

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1285682195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 1ST ST SE STE 230",
            "city": "BANDON",
            "state": "OR",
            "postal_code": "974119309",
            "telephone_number": "541-347-2529",
            "fax_number": "541-347-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 TICHENOR ST",
            "city": "PORT ORFORD",
            "state": "OR",
            "postal_code": "974658776",
            "telephone_number": "541-347-2529",
            "fax_number": "541-347-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWRY",
        "first_name": "HAROLD",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "14168",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD192768",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD192768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500772421",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orford, OR

Sources for this page

Verify at the official NPI Registry.