Active NPI
Joseph Sedillo
- Hematology & Oncology Physician
- Grants Pass, OR
National Provider Identifier
1386022358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- PA179893
- Practice address
- 1879 Williams Hwy
Grants Pass, OR 97527-5864 - Phone
- (541) 774-5853
- NPI assigned
- May 11, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hematology & Oncology Physician | 207RH0003X | PA179893 | OR | Primary |
Addresses
Primary practice location
1879 Williams Hwy
Grants Pass, OR 97527-5864
Mailing address
3181 SW Sam Jackson Park Rd
Gh219
Portland, OR 97239-3011
Other practice location 1
2828 E Barnett Rd
Medford, OR 97504-8342
Phone (541) 774-5853
Other practice location 2
940 Royal Ave Unit 100
Medford, OR 97504-6194
Phone (541) 774-5853
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
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asante Physician Partners | Past | Accepting new patients |
Interoperability endpoints
- joseph.sedillo@hoapc.ikm.direct-ci.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Medford, OR
- NPI 1922381326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538611200000",
"number": "1386022358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"address_2": "GH219",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1879 WILLIAMS HWY",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975275864",
"telephone_number": "541-774-5853"
}
],
"practiceLocations": [
{
"address_1": "2828 E Barnett Rd",
"address_purpose": "LOCATION",
"city": "Medford",
"state": "OR",
"postal_code": "975048342",
"country_code": "US",
"telephone_number": "541-774-5853",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "940 Royal Ave Unit 100",
"address_purpose": "LOCATION",
"city": "Medford",
"state": "OR",
"postal_code": "975046194",
"country_code": "US",
"telephone_number": "541-774-5853",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEDILLO",
"first_name": "JOSEPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-11",
"last_updated": "2018-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "OR",
"license": "PA179893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.