Klamath Physician Assistants LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-00709 Issued in OR

Legal business name

KLAMATH PHYSICIAN ASSISTANTS LLC

Practice address

4636 Sjodin LN
Klamath Falls, OR 97603-6899

Phone

(541) 885-5546

Fax

(541) 885-5546

NPI assigned

Jul 16, 2008

Last updated

Aug 13, 2008By 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

Jason Winebarger, PA-CNPI 1376660597

Title

Member

Phone

(541) 885-5546

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason Kent Winebarger, PA-C

  • Surgical Physician Assistant
  • Bend, OR
  • NPI 1376660597
  NPD (past) Authorized official
• Paul A Winkler II, PA-C

  • Surgical Physician Assistant
  • Klamath Falls, OR
  • NPI 1255354817
  NPD (past)

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1376707539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4636 SJODIN LN",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976036899",
            "telephone_number": "541-885-5546",
            "fax_number": "541-885-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4636 SJODIN LN",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976036899",
            "telephone_number": "541-885-5546",
            "fax_number": "541-885-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLAMATH PHYSICIAN ASSISTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "WINEBARGER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "541-885-5546",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA-00709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Klamath Ophthalmology PC (Benson Eye Center)
• Klamath Orthopedic Clinic PC
• Klamath Pain Clinic PC
• Klamath Pathology Associates, PC
• Klamath Pediatric Clinic, PC
• Klamath Psychological Assessment Services, Inc.
• Klamath Radiology Associates PC
• Klamath Smiles, LLC
• Klamath Surgery Center LLC (Klamath Surgery Center)
• Klamath Surgical Associates PC

• Physician Assistant in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.