Paul D. Reicherter, MD, PC

Primary specialty

Clinical & Laboratory Dermatological Immunology PhysicianTaxonomy code 207NI0002X

License

MD23536 Issued in OR

Legal business name

PAUL D. REICHERTER, MD, PC

Practice address

1813 W Harvard Ave Ste 310
Roseburg, OR 97471-2756

Phone

(541) 672-7546

Fax

(541) 957-8446

NPI assigned

Jul 11, 2007

Last updated

Feb 15, 2016By 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

Paul D Reicherter, MDNPI 1053379826

Title

President

Phone

(541) 672-7546

Specialties & licenses 5

Addresses

Other names 1

• Advanced Skin Center Other name

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 24

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.

• Paul Douglas Reicherter, MD

  • MOHS-Micrographic Surgery Physician
  • Roseburg, OR
  • NPI 1053379826

  Dermatology

  Medicare reassignment Care Compare group NPD Authorized official
• Jody Michelle Zurita, F.N.P.-C

  • Family Nurse Practitioner
  • Roseburg, OR
  • NPI 1770986051
  Medicare reassignment Care Compare group NPD
• Catherine I Barry, DO

  • Anatomic Pathology Physician
  • Charlottesville, VA
  • NPI 1730382581

  OR

  Medicare reassignment Care Compare group NPD
• Robert Leposavic, M.D.

  • MOHS-Micrographic Surgery Physician
  • Santa Barbara, CA
  • NPI 1396847182

  Dermatology, OR

  Medicare reassignment Care Compare group NPD
• Ian James Chamberlain, PA-C

  • Medical Physician Assistant
  • Grants Pass, OR
  • NPI 1093521221
  Medicare reassignment Care Compare group
• David M Collins, PA-C

  • Medical Physician Assistant
  • Boardman, OR
  • NPI 1548320302
  Medicare reassignment Care Compare group
• Winthrop T Head

  • Medical Physician Assistant
  • Roseburg, OR
  • NPI 1437535077
  Medicare reassignment Care Compare group
• Ashley D Heuer, PA

  • Physician Assistant
  • Roseburg, OR
  • NPI 1871030338
  Medicare reassignment Care Compare group
• Megan Smith, PA-C

  • Medical Physician Assistant
  • Coos Bay, OR
  • NPI 1093263386
  Medicare reassignment Care Compare group
• Samantha Taylor, PA

  • Physician Assistant
  • Bend, OR
  • NPI 1710617550
  Medicare reassignment Care Compare group
• Sarah Vouch, PA-C

  • Physician Assistant
  • Roseburg, OR
  • NPI 1982054169
  Medicare reassignment Care Compare group
• Amber Evelyn Bischoff, PA-C

  • Physician Assistant
  • Overland Park, KS
  • NPI 1043723414

  OR

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1407055437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 W HARVARD AVE STE 310",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712756",
            "telephone_number": "541-672-7546",
            "fax_number": "541-957-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 W HARVARD AVE STE 310",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712756",
            "telephone_number": "541-672-7546",
            "fax_number": "541-957-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL D. REICHERTER, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "REICHERTER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-672-7546",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "OR",
            "license": "MD23536",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "OR",
            "license": "MD23536",
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "OR",
            "license": "MD23536",
            "primary": true
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "OR",
            "license": "MD23536",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "OR",
            "license": "MD23536",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Skin Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David Rees Patterson, MD
• Jessica Louise Patterson, CADCI
• Julie Lea Patterson, MS, ATC/L
• William Mychael Patterson, CRM
• Heidi Pattz
• Michelle Paul, MED
• Steven Paulsen
• Elisabeth Erin Payne
• Sandy Kay Payne, O.D.
• Imani Renee Payton, LPCC

• Dermatology Physician in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Dermatology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.