At Home Primary Care

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

200650008NP Issued in OR

Legal business name

AT HOME PRIMARY CARE

Practice address

511 Main St
Suite 112
Oregon City, OR 97045-1830

Phone

(503) 344-6717

Fax

(503) 345-9867

NPI assigned

May 20, 2016

Organization subpart

Yes

Parent organization

HOUSECALL MEDICAL SERVICES INCAs reported in NPPES

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

Authorized official

Name

Monica Ferguson, NPNPI 1932154366

Title

Ceo

Phone

(503) 358-7908

Specialties & licenses 2

Addresses

Other identifiers 7

Other names 1

• Housecall Medical Services Inc Doing business as

Part of

Housecall Medical Services Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Housecall Medical Services, Inc

  • Health Service Clinic/Center
  • Lake Oswego, OR
  • NPI 1093053431
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Monica Ferguson, FNP

  • Primary Care Clinic/Center
  • Oregon City, OR
  • NPI 1932154366

  Primary Care

  NPD (past) Authorized official

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463702400000",
    "number": "1336596113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 945",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970340103",
            "telephone_number": "503-344-6717",
            "fax_number": "503-345-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 MAIN ST",
            "address_2": "SUITE 112",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451830",
            "telephone_number": "503-344-6717",
            "fax_number": "503-345-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME PRIMARY CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOUSECALL MEDICAL SERVICES INC",
        "enumeration_date": "2016-05-20",
        "last_updated": "2016-05-20",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-358-7908",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "200650008NP",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OR",
            "license": "200650008NP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "243056",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "200650008NP",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID INDIV",
            "identifier": "R178969",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIV",
            "identifier": "1932154366",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500678021",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP HMS",
            "identifier": "1093053431",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID GROUP",
            "identifier": "R178970",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Housecall Medical Services Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin Arizo
• Amber De Ann Asaro
• Tewodros Kinde Asfaw
• Carolee A Asher, RN
• Hayleigh Kathleen Ast, ND
• Sarah Atkinson
• Yo Herman Atteberry, MD
• Auralcare Hearing Centers of America, LLC
• Savannah Rose Auster
• Auto Injury Clinics LLC

• All providers in Oregon City, OR
• Primary Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.