Oregon Surgicenter LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

393786 Issued in OR

Legal business name

OREGON SURGICENTER LLC

Practice address

2400 Hartman LN
Ste 300
Springfield, OR 97477-1198

Phone

(541) 343-1603

Fax

(541) 687-0281

NPI assigned

May 23, 2005

Organization subpart

No

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

Authorized official

Name

Terrance Fitzpatrick

Title

Administrator

Phone

(541) 334-3350

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Listed as

Oregon Surgicenter LLCCCN 38C0001064

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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

• Brenton Greggory Sherwood, MD

  • Urology Physician
  • Springfield, OR
  • NPI 1457842650
  NPD (past)
• Jeffrey E Stagg, MD

  • Urology Physician
  • Springfield, OR
  • NPI 1114485190
  NPD (past)
• Brady R Walker, MD

  • Urology Physician
  • Springfield, OR
  • NPI 1346300530
  NPD (past)

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1295738375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 HARTMAN LN",
            "address_2": "STE 300",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771198",
            "telephone_number": "541-343-1603",
            "fax_number": "541-687-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HARTMAN LN",
            "address_2": "STE 300",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771198",
            "telephone_number": "541-343-1603",
            "fax_number": "541-687-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON SURGICENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "541-334-3350"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OR",
            "license": "393786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00175746",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277843",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oregon Imaging Center
• Oregon Medical Group at Thurston Physical Therapy
• Oregon Medical LLC
• Oregon Research Behavioral Intervention Strategies, Inc
• Oregon Surgical Wellness LLC
• Oregon Urology Institute PC
• Oregon Vascular and Vein Institute
• Ori Community and Evaluation Services
• Brenda Michelle Ormesher, MD
• Donna K Orta Baptista, LPN

• Ambulatory Surgical Clinic/Center in Springfield, OR
• Providers in Springfield, 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 Sep 28, 2022; 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.