Physicians Medical Center, P C

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

200040842RN Issued in OR

Legal business name

PHYSICIANS MEDICAL CENTER, P C

Practice address

2435 NE Cumulus Ave
Suite a
McMinnville, OR 97128-8805

Phone

(503) 472-6161

Fax

(503) 434-8498

NPI assigned

Jul 6, 2016

Organization subpart

No

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

Authorized official

Name

Dennis D Gray

Title

Administrator

Phone

(503) 434-8285

Specialties & licenses 1

Addresses

Tax ID family

Physicians Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Physicians Medical Center, P C

  • General Practice Physician
  • McMinnville, OR
  • NPI 1699110320
  NPD tax ID

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1376995175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 NE CUMULUS AVE",
            "address_2": "SUITE A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971288805",
            "telephone_number": "503-472-6161",
            "fax_number": "503-434-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 NE CUMULUS AVE",
            "address_2": "SUITE A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971288805",
            "telephone_number": "503-472-6161",
            "fax_number": "503-434-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS MEDICAL CENTER, P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "503-434-8285"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "OR",
            "license": "200040842RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Fink Pfendler, MD
• Erica Phelps
• Maria Phillips
• Sydney Rose Phillips
• Physicians Medical Center P C
• Physicians Medical Center, P C
• Physicians Medical Center, P C
• Bettina Tamice Pierce
• Shawna Pilcher
• Teresa Pimentel, RD, LD

• Diabetes Educator Registered Nurse in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Diabetes Educator Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.