NPIMap

Organization Active NPI

Middleway Medicine

  • Acupuncturist
  • Talent, OR
National Provider Identifier
1316473176
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00921 Issued in OR
Legal business name
MIDDLEWAY MEDICINE
Practice address
88 Lapree St
Talent, OR 97540-6000
Phone
(541) 535-5082
Fax
(541) 535-3026
NPI assigned
May 11, 2017
Last updated
May 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Richard Clark Zimmerman, LACNPI 1336281310
Title
President
Phone
(541) 535-5082

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00921 OR Primary
Acupuncturist 171100000X AC00920 OR
Acupuncturist 171100000X AC170159 OR

Addresses

Primary practice location

88 Lapree St
Talent, OR 97540-6000

Mailing address

PO Box 960
88 Lapree St.
Talent, OR 97540-0960
Phone (541) 535-5082

Other identifiers 3

IdentifierTypeStateIssuer
500704629MedicaidOR
500705825MedicaidOR
500701484MedicaidOR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1316473176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960",
            "address_2": "88 LAPREE ST.",
            "city": "TALENT",
            "state": "OR",
            "postal_code": "975400960",
            "telephone_number": "541-535-5082",
            "fax_number": "541-535-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 LAPREE ST",
            "city": "TALENT",
            "state": "OR",
            "postal_code": "975406000",
            "telephone_number": "541-535-5082",
            "fax_number": "541-535-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLEWAY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-535-5082",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00921",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00920",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC170159",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500704629",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500705825",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500701484",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Talent, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.