Jon E. L. Ermshar, MD, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JON E. L. ERMSHAR, MD, PC

Practice address

1716 Williams Hwy
Grants Pass, OR 97527-5661

Phone

(541) 474-6053

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Jon ErmsharNPI 1366438095

Title

President/Provider

Phone

(541) 474-6053

Specialties & licenses 1

Addresses

Other names 1

• WELLSPRING FAMILY PRACTICE Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jon Edwin Lloyd Ermshar, M.D.

  • Family Medicine Physician
  • Grants Pass, OR
  • NPI 1366438095

  Family Medicine, OR

  Medicare reassignment NPD Authorized official
• McKenzie Lee Myers, FNP-C

  • Family Nurse Practitioner
  • Grants Pass, OR
  • NPI 1568869279

  OR

  Medicare reassignment NPD
• Brett L Rasmussen PA-C, PA-C

  • Medical Physician Assistant
  • Grants Pass, OR
  • NPI 1962712547

  OR

  Medicare reassignment
• Angela Marie Hagerty, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Grants Pass, OR
  • NPI 1750972030
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1366492548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 BEALL LN",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975021573",
            "telephone_number": "541-664-5151",
            "fax_number": "541-664-5155"
        },
        {
            "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": "541-474-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON E. L. ERMSHAR, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "ERMSHAR",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT/PROVIDER",
        "authorized_official_telephone_number": "541-474-6053"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WELLSPRING FAMILY PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Parker Johnston, DMD
• Mark Ivan Johnstun, LPC
• Jessee Joann Jolee
• Jocelyn Joling
• Jon Chambers Chiropractic, LLC
• Shaeanna Jones-Shoesmith
• Chloey Lynsie Jones, DMD
• Lauren Jones, RN
• Mark Anthony Jones, MD
• Rick Jones, CADCII, NCACII

• All providers in Grants Pass, OR
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.