Active NPI
John M Vargo, D O
- General Practice Physician
- Salem, OR
National Provider Identifier
1427207265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- DO14226
- Practice address
- 4305 Camas CT NE
Salem, OR 97305-2207 - Phone
- (503) 378-2302
- NPI assigned
- Sep 17, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | DO14226 | OR | Primary |
Addresses
Primary practice location
4305 Camas CT NE
Salem, OR 97305-2207
Mailing address
4305 Camas CT NE
Salem, OR 97305-2207
Phone (503) 378-2302
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO14226 | OR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221609600000",
"number": "1427207265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4305 CAMAS CT NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973052207",
"telephone_number": "503-378-2302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4305 CAMAS CT NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973052207",
"telephone_number": "503-378-2302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGO",
"first_name": "JOHN",
"middle_name": "M",
"credential": "D O",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-17",
"last_updated": "2008-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OR",
"license": "DO14226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.