Individual provider Active NPI

Catherine Anne O'Brien, M.D.

  • Hematology & Oncology Physician
  • McMinnville, OR
National Provider Identifier
1417994047
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD25920 Issued in OR
Practice address
2700 SE Stratus Ave.
Suite a
McMinnville, OR 97128
Phone
(503) 435-6590
Fax
(503) 435-6591
NPI assigned
Jun 1, 2006
Last updated
Jul 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD25920 OR Primary

Addresses

Primary practice location

2700 SE Stratus Ave.
Suite a
McMinnville, OR 97128

Mailing address

875 Oak St SE
Suite 4030
Salem, OR 97301-3975
Phone (503) 561-6449

Other identifiers 1

IdentifierTypeStateIssuer
005904MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cobrien197804@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060718000043 OR Practitioner - Hematology/OncologyPractitioner - Internal Medicine 8224045877 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
University of California, Davis School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oregon Oncology Specialists LLPGroup PAC ID 3971576240, 41 clinicians

Practice addresses (Care Compare)

2700 SE Stratus Ave
Suite a
McMinnville, OR 97128-6258
Phone (503) 435-6590

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Oncology Specialists, LLP Hematology & Oncology CurrentSince Aug 1, 2006 Accepting new patients
Oregon Oncology Specialists, LLP Hematology & Oncology CurrentSince Aug 1, 2006 Accepting new patients
Samaritan North Lincoln Hospital Current Accepting new patients
Oregon Oncology Specialists, LLP Hematology & Oncology Past Accepting new patients
Good Samaritan Hospital Corvallis PastSince Jan 1, 2021 Accepting new patients

Locations

3043 NE 28th St
Lincoln City, OR 97367
Phone (541) 994-3661

2700 SE Stratus Ave
Ste A
McMinnville, OR 97128
Phone (503) 435-6590

875 Oak St SE
Ste 4030
Salem, OR 97301
Phone (503) 561-6492

Interoperability endpoints

  • Direct secure messaging: catherine.obrien@hoos.ikm.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1417994047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 OAK ST SE",
            "address_2": "SUITE 4030",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013975",
            "telephone_number": "503-561-6449",
            "fax_number": "503-561-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 SE STRATUS AVE.",
            "address_2": "SUITE A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "97128",
            "telephone_number": "503-435-6590",
            "fax_number": "503-435-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "CATHERINE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OR",
            "license": "MD25920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005904",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cobrien197804@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "501 NW Elks Dr Ste 100",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973303757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McMinnville, OR

Sources for this page

Verify at the official NPI Registry.