Gerald Engstrom

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD15315 Issued in OR

Legal business name

GERALD ENGSTROM

Practice address

1813 W Harvard Ave Ste 427
Roseburg, OR 97470-8712

Phone

(541) 673-3447

Fax

(541) 677-9712

NPI assigned

Jan 3, 2008

Last updated

Jan 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gerald W Engstrom, M.D.NPI 1609851898

Title

Owner

Phone

(541) 673-3447

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gerald Engstrom, MD

  • Gastroenterology Physician
  • Roseburg, OR
  • NPI 1609851898
  NPD (past) Authorized official

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1316122708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 W HARVARD AVE STE 427",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974708712",
            "telephone_number": "541-673-3447",
            "fax_number": "541-677-9712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 W HARVARD AVE STE 427",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974708712",
            "telephone_number": "541-673-3447",
            "fax_number": "541-677-9712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD ENGSTROM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "ENGSTROM",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-673-3447",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OR",
            "license": "MD15315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151282",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine George Melvin
• Darryl Brett George, D.O.
• Kimberly Michelle George
• Kristin Marie George, RN
• Gerald a. Jaworski, M.D., P.C.
• David Germany
• Jinalyn Germond
• Kathleen Geyer
• Vicky M Geyer, HAD
• Luul - Ghebrednghil, M.D.

• Gastroenterology Physician in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Gastroenterology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.