Brookings Internal Medicine-Pathology-Diseases of the Skin

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD126149 Issued in OR

Legal business name

BROOKINGS INTERNAL MEDICINE-PATHOLOGY-DISEASES OF THE SKIN

Practice address

97839 Shopping Center Ave # 7229
Harbor, OR 97415-9403

Phone

(541) 254-9424

Fax

(541) 254-9425

NPI assigned

Feb 5, 2018

Organization subpart

No

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

Authorized official

Name

Richard Frank Schultz, MDNPI 1487738134

Title

Owner

Phone

(541) 254-9424

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Richard F Schultz, M.D.

  • Specialist
  • Harbor, OR
  • NPI 1487738134
  NPD Authorized official

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517788800000",
    "number": "1316446339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97839 SHOPPING CENTER AVE # 7229",
            "city": "HARBOR",
            "state": "OR",
            "postal_code": "974159403",
            "telephone_number": "541-254-9424",
            "fax_number": "541-254-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97839 SHOPPING CENTER AVE # 7229",
            "city": "HARBOR",
            "state": "OR",
            "postal_code": "974159403",
            "telephone_number": "541-254-9424",
            "fax_number": "541-254-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKINGS INTERNAL MEDICINE-PATHOLOGY-DISEASES OF THE SKIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-05",
        "last_updated": "2018-02-05",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-254-9424",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "OR",
            "license": "MD126149",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD126149",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OR",
            "license": "MD126149",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barrons Home Furnishings
• William H Carrigan, MA
• Julianna K Clark, PHARMD
• Pamela Ann Deraita
• Sung Sheng Ho, PHARMD
• Ausama Khalil

• All providers in Harbor, OR
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; 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.