Organization Active NPI

Dale S McDowell Jr MD PC

  • Interventional Cardiology Physician
  • Klamath Falls, OR
National Provider Identifier
1427112622
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD11676 Issued in OR
Legal business name
DALE S MCDOWELL JR MD PC
Practice address
2614 Clover St
Klamath Falls, OR 97601-1132
Phone
(541) 884-6233
Fax
(541) 880-2840
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Authorized official

Name
Dale S McDowell, M.D.
Title
Owner
Phone
(541) 884-6233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X MD11676 OR Primary

Addresses

Primary practice location

2614 Clover St
Klamath Falls, OR 97601-1132

Mailing address

2614 Clover St
Klamath Falls, OR 97601-1132
Phone (541) 884-6233

Other identifiers 1

IdentifierTypeStateIssuer
245522MedicaidOR

National Provider Directory

National Provider Directory

Locations

2200 Bryant Williams Dr
Ste 3
Klamath Falls, OR 97601
Phone (541) 274-8930

2614 Clover St
Klamath Falls, OR 97601
Phone (503) 894-8122

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1427112622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 CLOVER ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011132",
            "telephone_number": "541-884-6233",
            "fax_number": "541-880-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 CLOVER ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011132",
            "telephone_number": "541-884-6233",
            "fax_number": "541-880-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE S MCDOWELL JR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "MCDOWELL",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-884-6233",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OR",
            "license": "MD11676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "245522",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.