Organization Active NPI

Carl S Schreiner MD PC

  • Otolaryngology Physician
  • Roseburg, OR
National Provider Identifier
1407182900
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD21871 Issued in OR
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

Updated by the provider on Jul 29, 2015

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)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
500614886MedicaidOR

Other names 1

  • ENT Associates of Roseburg LLC Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.