NPIMap

Organization Active NPI

Samaritan Pacific Health Services Inc

Doing business as SPCH Oncology Clinic

  • Medical Oncology Physician
  • Newport, OR
National Provider Identifier
1376691345
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
141460 Issued in OR
Legal business name
SAMARITAN PACIFIC HEALTH SERVICES INC
Doing business as
SPCH Oncology Clinic
Practice address
929 SW Bay St
Newport, OR 97365-4862
Phone
(541) 265-6229
Fax
(541) 754-2775
NPI assigned
Jan 8, 2007
Last updated
May 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Mr. David C. Bigelow
Title
Ceo
Phone
(541) 574-1801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RX0202X 141460 OR Primary

Addresses

Primary practice location

929 SW Bay St
Newport, OR 97365-4862

Mailing address

929 SW Bay St
Newport, OR 97365-4862
Phone (541) 265-6229

Other names 1

  • SPCH Oncology Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040204000304 OR Part B Supplier - Clinic/Group Practice 2466353529 Receives reassigned benefits from 384 practitioners
25 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Newport, OR; Depoe Bay, OR

Other NPIs on the same Medicare enrollment 24

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 24

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1376691345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 SW BAY ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973654862",
            "telephone_number": "541-265-6229",
            "fax_number": "541-754-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 SW BAY ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973654862",
            "telephone_number": "541-265-6229",
            "fax_number": "541-754-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN PACIFIC HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "BIGELOW",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-574-1801",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "OR",
            "license": "141460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPCH Oncology Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.