Jeremy Orcutt, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

DO13829 Issued in OR

Practice address

5215 Salal CT
Florence, OR 97439-8337

Phone

(541) 997-8787

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1336200856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 SALAL CT",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974398337",
            "telephone_number": "541-997-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 SALAL CT",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974398337",
            "telephone_number": "541-997-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORCUTT",
        "first_name": "JEREMY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "DO13829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191908",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Nice, L.M.T.
• North Coast Home Care, Inc.
• Juel Ann North, QMHP
• Brett D O'Connor, FNP
• Dolly Okwado
• Malena Marie Ortega
• Gregory Eugene Page, D.C.
• David Y Park, M.D.
• Justine E Parker, D.O.
• Deborah Lynn Pasternak, LMT

• Diagnostic Radiology Physician in Florence, OR
• Providers in Florence, OR by specialty
• Diagnostic Radiology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.