Individual provider Active NPI

William P Powell, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Ashland, OR
National Provider Identifier
1285779439
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
DO180017 Issued in OR
Practice address
595 N Main St Ste 2
Ashland, OR 97520-1821
Phone
(541) 488-1116
Fax
(541) 488-6409
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X DO180017 OR Primary
Family Medicine Physician 207Q00000X DO180017 OR

Addresses

Primary practice location

595 N Main St Ste 2
Ashland, OR 97520-1821

Mailing address

595 N Main St Ste 2
Ashland, OR 97520-1821
Phone (541) 488-1116

Other identifiers 1

IdentifierTypeStateIssuer
500717449MedicaidOR

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
I20161123000843 OR Practitioner - Family Practice 0749379097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Pacific Crest Integrative Medicine PCGroup PAC ID 0749679678, 2 clinicians

Practice addresses (Care Compare)

229 W Stewart Ave
Suite 104
Medford, OR 97501-3663
Phone (541) 488-1116

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO180017ORMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Crest Integrative Medicine PC Neuromusculoskeletal Medicine & Omm CurrentSince Sep 1, 2021 Accepting new patients

Locations

595 N Main St
Ste 2
Ashland, OR 97520
Phone (541) 488-1116

229 W Stewart Ave
Ste 104
Medford, OR 97501
Phone (541) 488-1116

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1285779439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 N MAIN ST STE 2",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201821",
            "telephone_number": "541-488-1116",
            "fax_number": "541-488-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 N MAIN ST STE 2",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201821",
            "telephone_number": "541-488-1116",
            "fax_number": "541-488-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "WILLIAM",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "OR",
            "license": "DO180017",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO180017",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500717449",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

Verify at the official NPI Registry.