NPIMap

Organization Active NPI

Samaritan Pacific Health Services, Inc.

Doing business as PCH Samaritan Medical Group Rheumatology

  • Rheumatology Physician
  • Newport, OR
National Provider Identifier
1356059208
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
SAMARITAN PACIFIC HEALTH SERVICES, INC.
Doing business as
PCH Samaritan Medical Group Rheumatology
Practice address
1010 SW Coast Hwy Ste 101
Newport, OR 97365-5239
Phone
(541) 768-5800
NPI assigned
Nov 9, 2022
Last updated
Nov 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Authorized official

Name
Lesley J Ogden, MD
Title
Ceo-SPCH
Phone
(541) 557-6411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X NU Primary

Addresses

Primary practice location

1010 SW Coast Hwy Ste 101
Newport, OR 97365-5239

Mailing address

PO Box 1189
Corvallis, OR 97339-1189
Phone (541) 768-5800

Other names 1

  • PCH Samaritan Medical Group Rheumatology Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Samaritan Pacific Healt10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1356059208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189",
            "telephone_number": "541-768-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 SW COAST HWY STE 101",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973655239",
            "telephone_number": "541-768-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN PACIFIC HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "OGDEN",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO-SPCH",
        "authorized_official_telephone_number": "541-557-6411",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PCH Samaritan Medical Group Rheumatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.