Active NPI
John Alex Deschweinitz
- Other Technician
- Medford, OR
National Provider Identifier
1417105255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 200932934
- Practice address
- 1609 E Barnett Rd
Medford, OR 97504-8284 - Phone
- (541) 890-4462
- NPI assigned
- Sep 5, 2008
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | 200932934 | OR | Primary |
Addresses
Primary practice location
1609 E Barnett Rd
Medford, OR 97504-8284
Mailing address
1609 E Barnett Rd
Medford, OR 97504
Phone (541) 890-4462
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200932934 | OR | MD | Other Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Sleep Lab LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Medical Laboratory
- Medford, OR
- NPI 1912143736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220572800000",
"number": "1417105255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1609 E BARNETT RD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "97504",
"telephone_number": "541-890-4462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1609 E BARNETT RD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048284",
"telephone_number": "541-890-4462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESCHWEINITZ",
"first_name": "JOHN",
"middle_name": "ALEX",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-05",
"last_updated": "2008-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "OR",
"license": "200932934",
"primary": true
}
],
"identifiers": [],
"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 Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.