Active NPI
Carl S Schreiner MD PC
- Otolaryngology Physician
- Roseburg, OR
National Provider Identifier
1407182900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD21871
- Legal business name
- CARL S SCHREINER MD PC
- Practice address
- 2423 NW Troost St
Roseburg, OR 97471-1706 - Phone
- (541) 677-3400
- Fax
- (541) 677-3405
- NPI assigned
- Oct 19, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carl Sturgis Schreiner IV, MD
- Title
- Physician
- Phone
- (541) 677-3400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD21871 | OR | Primary |
Addresses
Primary practice location
2423 NW Troost St
Roseburg, OR 97471-1706
Mailing address
2423 NW Troost St
Roseburg, OR 97471-1706
Phone (541) 677-3400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500614886 | Medicaid | OR |
Other names 1
- ENT Associates of Roseburg LLC
National Provider Directory
National Provider DirectoryLocations
2801 NW Mercy Dr
Ste 330
Roseburg, OR 97471
Phone (541) 677-3300
2423 NW Troost St
Roseburg, OR 97471
Phone (541) 464-0788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438128000000",
"number": "1407182900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2423 NW TROOST ST",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974711706",
"telephone_number": "541-677-3400",
"fax_number": "541-677-3405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2423 NW TROOST ST",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974711706",
"telephone_number": "541-677-3400",
"fax_number": "541-677-3405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARL S SCHREINER MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-19",
"last_updated": "2015-07-29",
"status": "A",
"authorized_official_last_name": "SCHREINER",
"authorized_official_first_name": "CARL",
"authorized_official_middle_name": "STURGIS",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "541-677-3400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "IV",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "OR",
"license": "MD21871",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500614886",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ENT Associates of Roseburg LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.