Pamela Grace Demian, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD187777 Issued in OR

Practice address

1245 N Riverside Ave Ste 23
Medford, OR 97501-4655

Phone

(541) 414-0330

Fax

(541) 414-0333

NPI assigned

Nov 1, 2006

Last updated

Jun 28, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Pamela Clark Pratt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Cypress Medical Center of St Gianna

  • Family Medicine Physician
  • Medford, OR
  • NPI 1851655153
  NPD (past) Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1336226927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 N RIVERSIDE AVE STE 23",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975014655",
            "telephone_number": "541-414-0330",
            "fax_number": "541-414-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 N RIVERSIDE AVE STE 23",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975014655",
            "telephone_number": "541-414-0330",
            "fax_number": "541-414-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMIAN",
        "first_name": "PAMELA",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD187777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON MEDICAL LICENSE",
            "identifier": "MD18777",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "PRATT",
            "middle_name": "CLARK",
            "prefix": "DR.",
            "credential": "M.D,",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Delia Smith Physical Therapy PC
• Curtis Gregory Delplanche, O.D., M.D.
• Jennifer L Deltour, MSN-FNP
• Patricia Demaio, MSN
• Kim Demesmin
• Debra Dempsey
• Jackson T Dempsey, MD
• Patrick J Denard, MD
• Denise a. Burke M.D. P.C.
• Lisa Mae Denison

• Family Medicine Physician in Medford, OR
• Providers in Medford, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.