Active NPI
David H Cutsforth Jr., M.D.
- Family Medicine Physician
- Philomath, OR
National Provider Identifier
1376593210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD10399
- Practice address
- 1219 Applegate
Philomath, OR 97370 - Phone
- (541) 929-2922
- NPI assigned
- May 11, 2006
- Last updated
- Jun 5, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD10399 | OR | Primary |
Addresses
Primary practice location
1219 Applegate
Philomath, OR 97370
Mailing address
444 NW Elks Dr
Corvallis, OR 97330-3745
Phone (541) 754-1150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 033449 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD10399 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Philomath Family Medicine, P.C. | Past | Accepting new patients | |
| The Corvallis Clinic P C | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/14349/brand/4/csg/42/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Non-Pharmacy Dispensing Site
- Philomath, OR
- NPI 1003957911
-
- Multi-Specialty Clinic/Center
- Corvallis, OR
- NPI 1649227265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244160000000",
"number": "1376593210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 NW ELKS DR",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303745",
"telephone_number": "541-754-1150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1219 APPLEGATE",
"city": "PHILOMATH",
"state": "OR",
"postal_code": "97370",
"telephone_number": "541-929-2922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUTSFORTH",
"first_name": "DAVID",
"middle_name": "H",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2009-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD10399",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "033449",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philomath, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.