Individual provider Active NPI

Claire E King, MD

  • Family Medicine Physician
  • Stayton, OR
National Provider Identifier
1316940919
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD27164 Issued in OR
Practice address
1375 N 10TH Ave
Suite B
Stayton, OR 97383-2099
Phone
(503) 769-7151
Fax
(503) 769-8563
NPI assigned
May 27, 2005
Sex
Female
Sole proprietor
No

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Family Practice
Education
University of California, Geffen School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santiam Memorial Hospital (128 clinicians)

Practice addresses (Care Compare)

1369 N 10TH Ave
Stayton, OR 97383-2037
Phone (503) 769-8470

1371 N 10TH Ave
Stayton, OR 97383-2037
Phone (503) 769-3785

1373 N 10TH Ave
Stayton, OR 97383-2037
Phone (503) 769-9522

Hospital & facility affiliations

  • First Call Home Health Agency, LLC Home health agency · Salem, OR · CCN 387147
  • Santiam Hospital & Clinics Hospital · Stayton, OR · CCN 380056
  • Salem Hospital Hospital · Salem, OR · CCN 380051

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20080604000034 OR Practitioner - Family Practice 4284682923 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD27164ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Santiam Memorial Hospital Current
since Dec 10, 2007
Accepting new patients
Santiam Memorial Hospital Current
since Dec 10, 2007
Accepting new patients
Santiam Memorial Hospital Current Accepting new patients

Locations

1373 N 10th Ave
#G
Stayton, OR 97383
Phone (503) 769-7151

1373 N 10th Ave
Stayton, OR 97383
Phone (503) 769-9522

1369 N 10th Ave
Stayton, OR 97383
Phone (503) 769-7546

1375 N 10th Ave
Ste B
Stayton, OR 97383
Phone (503) 769-7546

Interoperability endpoints

  • Direct secure messaging: cking@santiam.securechart.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 41527 CO
Family Medicine Physician 207Q00000X MD27164 OR Primary

Addresses

NPPES NPI Registry

Primary practice location

1375 N 10TH Ave
Suite B
Stayton, OR 97383-2099

Mailing address

1375 N 10TH Ave
Suite B
Stayton, OR 97383-2099
Phone (503) 769-7546

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
42170541MedicaidCO
218268MedicaidOR

Other names 1

NPPES NPI Registry
  • Claire E Ingham Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 23, 2012.

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1316940919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 N 10TH AVE",
            "address_2": "SUITE B",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973832099",
            "telephone_number": "503-769-7546",
            "fax_number": "503-769-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 N 10TH AVE",
            "address_2": "SUITE B",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973832099",
            "telephone_number": "503-769-7151",
            "fax_number": "503-769-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "CLAIRE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "41527",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD27164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42170541",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218268",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAIRE",
            "last_name": "INGHAM",
            "middle_name": "E",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stayton, OR

Sources for this page

Verify at the official NPI Registry.