Organization Active NPI

Medford Radiological Group, PC

  • Vascular & Interventional Radiology Physician
  • Medford, OR
National Provider Identifier
1356809073
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
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

Updated by the provider on Mar 12, 2019

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)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medford Radiological GRP PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "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.

Verify at the official NPI Registry.