Active NPI
Gary Allan Fletcher, MD
- Anesthesiology Physician
- Medford, OR
National Provider Identifier
1407884281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 08397
- Practice address
- 2620-H East Barnett Road
Medford, OR 97504-8383 - Phone
- (541) 773-7273
- Fax
- (541) 773-2027
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 08397 | OR | Primary |
Addresses
Primary practice location
2620-H East Barnett Road
Medford, OR 97504-8383
Mailing address
2620-H East Barnett Road
Medford, OR 97504-8383
Phone (541) 773-7273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 261214 | Medicaid | OR |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08397 | OR | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407884281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620-H EAST BARNETT ROAD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048383",
"telephone_number": "541-773-7273",
"fax_number": "541-773-2027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620-H EAST BARNETT ROAD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048383",
"telephone_number": "541-773-7273",
"fax_number": "541-773-2027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "GARY",
"middle_name": "ALLAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OR",
"license": "08397",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "261214",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.