Individual provider Active NPI

Jon Edwin Lloyd Ermshar, M.D.

  • Family Medicine Physician
  • Grants Pass, OR
National Provider Identifier
1366438095
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD17096 Issued in OR
Practice address
1716 Williams Hwy
Grants Pass, OR 97527-5661
Phone
(541) 474-4527
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD17096 OR Primary

Addresses

Primary practice location

1716 Williams Hwy
Grants Pass, OR 97527-5661

Mailing address

1701 NE 7TH St
Grants Pass, OR 97526-1319
Phone (541) 291-0280

Other practice location 1

500 SW Ramsey Ave
Grants Pass, OR 97527-5554
Phone (541) 291-0280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040407000218 OR Practitioner - Family PracticePractitioner - Obstetrics/GynecologyPractitioner - Pediatric Medicine 4880596998 Reassigns benefits to 3 organizations
Practice locations: Grants Pass, OR

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology, Pediatric Medicine
Education
Loma Linda University School of Medicine, 1988
Medicare assignment
May accept Medicare assignment
Group practices
Allcare Medical Group LLC 25 clinicians

Practice addresses (Care Compare)

1716 Williams Hwy
Grants Pass, OR 97527-5661
Phone (541) 474-4527

500 SW Ramsey Ave
Grants Pass, OR 97527-5554
Phone (541) 291-0280

Hospital & facility affiliations

  • Accentcare Home Health of Rogue Valley, LLC Home health agency, Medford, OR, CCN 387098
  • Assured Home Health Home health agency, Grants Pass, OR, CCN 387076
  • Asante Three Rivers Medical Center Hospital, Grants Pass, OR, CCN 380002
  • Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions11
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD17096ORMDFamily Medicine Physician
17096ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jon E. L. Ermshar, MD, PC Family Medicine CurrentSince Mar 1, 2000 Accepting new patients
Allcare Medical Group LLC Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
Asante Three Rivers Medical Center, LLC CurrentSince May 1, 2004 Accepting new patients
Mark Allen Rondeau Family Medicine Past Accepting new patients
Northwest Family Practice LLC Family Medicine Past Accepting new patients

Locations

341 E Cottage Park Dr
Ste 1
Cave Junction, OR 97523
Phone (541) 450-3625

1208 Beall Ln
Central Point, OR 97502

1701 NE 7th St
Grants Pass, OR 97526
Phone (541) 471-4106

1716 Williams Hwy
Grants Pass, OR 97527
Phone (541) 474-6053

124 NW Midland Ave
Ste J
Grants Pass, OR 97526
Phone (541) 476-8859

100 E Main St
Ste C
Medford, OR 97501
Phone (541) 200-2900

Interoperability endpoints

  • Direct secure messaging: jonermshar@acmgllc.allscriptsdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1366438095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 NE 7TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261319",
            "telephone_number": "541-291-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 WILLIAMS HWY",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275661",
            "telephone_number": "541-474-4527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 SW Ramsey Ave",
            "address_purpose": "LOCATION",
            "city": "Grants Pass",
            "state": "OR",
            "postal_code": "975275554",
            "country_code": "US",
            "telephone_number": "541-291-0280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERMSHAR",
        "first_name": "JON",
        "middle_name": "EDWIN LLOYD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD17096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

Verify at the official NPI Registry.