Organization Active NPI

Michael W Kelber MD PC

  • Family Medicine Physician
  • Salem, OR
National Provider Identifier
1295918910
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10647 Issued in OR
Legal business name
MICHAEL W KELBER MD PC
Practice address
2365 Grear St NE
Salem, OR 97301-2747
Phone
(503) 391-6615
Fax
(503) 391-0471
NPI assigned
Dec 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Dr. Michael Wilford Kelber, MDNPI 1487749693
Title
Owner/President
Phone
(503) 391-6615

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 10647 OR Primary

Addresses

Primary practice location

2365 Grear St NE
Salem, OR 97301-2747

Mailing address

2365 Grear St NE
Salem, OR 97301-2747
Phone (503) 391-6615

Other identifiers 1

IdentifierTypeStateIssuer
018796MedicaidOR

National Provider Directory

National Provider Directory

Locations

2365 Grear St NE
Salem, OR 97301
Phone (503) 391-6615

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1295918910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 GREAR ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012747",
            "telephone_number": "503-391-6615",
            "fax_number": "503-391-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 GREAR ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012747",
            "telephone_number": "503-391-6615",
            "fax_number": "503-391-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL W KELBER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "KELBER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WILFORD",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "503-391-6615",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "10647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018796",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.