Active NPI
Clara A Bozievich, MD
- Specialist
- Corvallis, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD21119
- Practice address
- 975 NW Spruce Ave Ste 102
Corvallis, OR 97330-2297 - Phone
- (541) 738-8727
- Fax
- (541) 758-4503
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD21119 | OR | Primary |
Addresses
Primary practice location
975 NW Spruce Ave Ste 102
Corvallis, OR 97330-2297
Mailing address
975 NW Spruce Ave Ste 102
Corvallis, OR 97330-2297
Phone (541) 738-8727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Maryland School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
975 NW Spruce Ave
Suite 102
Corvallis, OR 97330-2297
Phone (541) 286-6715
Hospital & facility affiliations
- Good Samaritan Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clara a. Bozievich, M.D., LLC | Current | Accepting new patients | |
| Good Samaritan Hospital Corvallis | Past | Accepting new patients |
Locations
922 NW Circle Blvd
Ste 160299
Corvallis, OR 97330
410 NW Walnut Blvd
Ste C
Corvallis, OR 97330
Phone (541) 286-6715
975 NW Spruce Ave
Ste 102
Corvallis, OR 97330
Phone (541) 738-8727
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Corvallis, OR
- NPI 1861091670
-
- Gynecologic Oncology Physician
- Corvallis, OR
- NPI 1710787916
Hospital & facility affiliations 21
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Endocrinology, Diabetes & Metabolism Physician
- Corvallis, OR
- NPI 1134552003
Hospital
-
- Obstetrics & Gynecology Physician
- Corvallis, OR
- NPI 1275882102
Hospital
-
- Infectious Disease Physician
- Corvallis, OR
- NPI 1407112642
Hospital
-
- Gynecologic Oncology Physician
- Corvallis, OR
- NPI 1710787916
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437350400000",
"number": "1326105040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "975 NW SPRUCE AVE STE 102",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973302297",
"telephone_number": "541-738-8727",
"fax_number": "541-758-4503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 NW SPRUCE AVE STE 102",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973302297",
"telephone_number": "541-738-8727",
"fax_number": "541-758-4503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOZIEVICH",
"first_name": "CLARA",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2015-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "MD21119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.