Active NPI
Medford Radiological Group, PC
- Vascular & Interventional Radiology Physician
- Medford, OR
National Provider Identifier
1356809073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- Legal business name
- MEDFORD RADIOLOGICAL GROUP, PC
- Practice address
- 1910 E Barnett Rd Ste 104
Medford, OR 97504-8672 - Phone
- (541) 618-5801
- Fax
- (541) 982-4780
- NPI assigned
- Mar 12, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joe Arthur Pastrano, MD
- Title
- Radiologist
- Phone
- (541) 618-5800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | Primary |
Addresses
Primary practice location
1910 E Barnett Rd Ste 104
Medford, OR 97504-8672
Mailing address
842 E Main St
Medford, OR 97504-7134
Phone (541) 618-5800
Other names 1
- Oregon Interventional Radiology
National Provider Directory
National Provider Directory- Tax ID family
- Medford Radiological GRP PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Diagnostic Radiology Physician
- Bend, OR
- NPI 1659813392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1552348800000",
"number": "1356809073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "842 E MAIN ST",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975047134",
"telephone_number": "541-618-5800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 E BARNETT RD STE 104",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048672",
"telephone_number": "541-618-5801",
"fax_number": "541-982-4780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDFORD RADIOLOGICAL GROUP, PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-12",
"last_updated": "2019-03-12",
"status": "A",
"authorized_official_last_name": "PASTRANO",
"authorized_official_first_name": "JOE",
"authorized_official_middle_name": "ARTHUR",
"authorized_official_title_or_position": "RADIOLOGIST",
"authorized_official_telephone_number": "541-618-5800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Oregon Interventional Radiology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.