Tillamook Medical Associates PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

TILLAMOOK MEDICAL ASSOCIATES PC

Practice address

980 3Rd St
Suite 200
Tillamook, OR 97141-9469

Phone

(503) 842-5546

Fax

(503) 842-1444

NPI assigned

Dec 29, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Sid Rittenbach

Title

Administrator

Phone

(503) 842-5546

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Tillamook Specialist Associates, LLC

  • General Practice Physician
  • Tillamook, OR
  • NPI 1154443646
  NPPES parent name

Practitioners 1

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

• Scott Allan Gardner, MD

  • Surgery Physician
  • Centerville, OH
  • NPI 1568458701
  NPD (past)

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1346227402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 3RD ST",
            "address_2": "SUITE 200",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971419469",
            "telephone_number": "503-842-5546",
            "fax_number": "503-842-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 3RD ST",
            "address_2": "SUITE 200",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971419469",
            "telephone_number": "503-842-5546",
            "fax_number": "503-842-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TILLAMOOK MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "RITTENBACH",
        "authorized_official_first_name": "SID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "503-842-5546",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117023",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tillamook Dialysis Center, LLC
• Tillamook Family Counseling Center
• Tillamook Family Counseling Center
• Tillamook Kidney Center LLC
• Tillamook Medical Associates Lab
• Tillamook Optometric Clinic
• Tillamook Specialist Associates, LLC
• Tillamook Speech Language Learning Center
• Debra M Torres, PMHNP
• Trask River Therapy LLC

• Specialist in Tillamook, OR
• Providers in Tillamook, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.