Eastern Or Dermatology

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD19132 Issued in OR

Legal business name

EASTERN OR DERMATOLOGY

Practice address

602 SE Byers Ave
Pendleton, OR 97801-2330

Phone

(541) 966-8551

Fax

(541) 966-8554

NPI assigned

Mar 12, 2008

Last updated

Mar 12, 2008By 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

John M Carrington, MDNPI 1538257589

Title

Provider

Phone

(541) 966-8551

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• John M Carrington, MD

  • Dermatology Physician
  • Pendleton, OR
  • NPI 1538257589
  NPD (past) Authorized official

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1417128984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978010040",
            "telephone_number": "541-966-8551",
            "fax_number": "541-966-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 SE BYERS AVE",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978012330",
            "telephone_number": "541-966-8551",
            "fax_number": "541-966-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN OR DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "CARRINGTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "541-966-8551",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OR",
            "license": "MD19132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080304",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheryl Lynn Duran
• Durk V Irwin DMD PC
• Joyce Rondi Duval, LPC
• Joseph Dyer, QMHA
• East Oregon Surgery Center, LLC
• Eastern Oregon Alcoholism Foundation
• Eastern Oregon Family Eyecare
• Eastern Oregon Orthopaedic Surgery & Fracture Clinic, Inc
• Eastern Oregon Orthopaedic Surgery & Fracture Clinic, Inc
• Eastern Oregon Physical Therapy

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.

Verify at the official NPI Registry.