Institute of Diabetes and Endocrinology PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD21000 Issued in OR

Legal business name

INSTITUTE OF DIABETES AND ENDOCRINOLOGY PC

Practice address

221 W Stewart Ave
Suite 101
Medford, OR 97501-3609

Phone

(541) 776-2003

Fax

(541) 796-9833

NPI assigned

Sep 27, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Richard L Eddy, MD

Title

President Ceo

Phone

(541) 776-2003

Specialties & licenses 2

Addresses

Other identifiers 1

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HAACCD

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1477549194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W STEWART AVE",
            "address_2": "SUITE 101",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975013609",
            "telephone_number": "541-776-2003",
            "fax_number": "541-796-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W STEWART AVE",
            "address_2": "SUITE 101",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975013609",
            "telephone_number": "541-776-2003",
            "fax_number": "541-796-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE OF DIABETES AND ENDOCRINOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "EDDY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "541-776-2003",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD21000",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OR",
            "license": "MD21518",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "831237000",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Medford, OR
• Providers in Medford, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.