Jim McCauley MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD20134 Issued in OR

Legal business name

JIM MCCAULEY MD PC

Practice address

427 Tanager Dr
Redmond, OR 97756-8389

Phone

(541) 420-9482

Fax

(541) 323-3794

NPI assigned

Mar 10, 2017

Last updated

Mar 10, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jim McCauley, MD

Title

Owner

Phone

(731) 571-3491

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1356882369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 TANAGER DR",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977568389",
            "telephone_number": "541-420-9482",
            "fax_number": "541-323-3794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 TANAGER DR",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977568389",
            "telephone_number": "541-420-9482",
            "fax_number": "541-323-3794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIM MCCAULEY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "MCCAULEY",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-571-3491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD20134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083662",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Redmond, OR
• Providers in Redmond, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.