Christopher R Sturdevant, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA00801 Issued in OR

Practice address

1801 Hwy 99 N
Ste 2
Ashland, OR 97520-9152

Phone

(541) 488-4464

Fax

(541) 488-3772

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Pain Care of Oregon, LLC

  • Interventional Pain Medicine Physician
  • Medford, OR
  • NPI 1699793505
  Medicare reassignment

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1396770582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 BENNETT AVE",
            "address_2": "STE 2",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046715",
            "telephone_number": "541-608-1997",
            "fax_number": "541-772-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 HWY 99 N",
            "address_2": "STE 2",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975209152",
            "telephone_number": "541-488-4464",
            "fax_number": "541-488-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURDEVANT",
        "first_name": "CHRISTOPHER",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA00801",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OR",
            "license": "PA00801",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Straub, COTA
• Scott Bradley Straub, BS
• Barbara C Street, M.A., CCC-A
• Kaleen Suzane Strempel, BS
• Stephen Bruce Strum, M.D.
• Elisabeth Ashley Sturm, DNP, FNP
• Teena Summers, LMFT
• T Sundin, M.D.
• Sunshine Counseling and Wellness
• Sunstone Primary Care PC

• Medical Physician Assistant in Ashland, OR
• Providers in Ashland, OR by specialty
• Medical Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.