Active NPI
Stephen Townsend, MD
- Internal Medicine Physician
- McMinnville, OR
National Provider Identifier
1285818153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD10252
- Practice address
- 115 NE May LN
McMinnville, OR 97128-9272 - Phone
- (503) 472-1338
- Fax
- (503) 434-8597
- NPI assigned
- Dec 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD10252 | OR | Primary |
Addresses
Primary practice location
115 NE May LN
McMinnville, OR 97128-9272
Mailing address
115 NE May LN
McMinnville, OR 97128-9272
Phone (503) 472-1338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030630 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10252 | OR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326412800000",
"number": "1285818153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 NE MAY LN",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971289272",
"telephone_number": "503-472-1338",
"fax_number": "503-434-8597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 NE MAY LN",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971289272",
"telephone_number": "503-472-1338",
"fax_number": "503-434-8597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOWNSEND",
"first_name": "STEPHEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-27",
"last_updated": "2012-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD10252",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "030630",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in McMinnville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.