Western Neurosurgery PC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

MD11848 Issued in OR

Legal business name

WESTERN NEUROSURGERY PC

Practice address

875 Oak St SE
#5060
Salem, OR 97301

Phone

(503) 399-1386

Fax

(503) 399-1182

NPI assigned

Jul 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jerry L Hubbard, MD

Title

Owner

Phone

(503) 399-1386

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1306865332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 OAK ST SE",
            "address_2": "#5060",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97301",
            "telephone_number": "503-399-1386",
            "fax_number": "503-399-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 OAK ST SE",
            "address_2": "#5060",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97301",
            "telephone_number": "503-399-1386",
            "fax_number": "503-399-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN NEUROSURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-399-1386",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "OR",
            "license": "MD11848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130294",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hans C West, M.D.
• Matthew F West, ND
• Michelle West
• Westcare Oregon
• Connie K Westcott
• Western Oregon Service Unit
• Western Reserve Rehab Group LLC
• Andrew C Westfall, MD
• Sean Westover, DPM
• Sheila L. Wettlaufer, CSFNP

• Neurological Surgery Physician in Salem, OR
• Providers in Salem, OR by specialty
• Neurological Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.