Layne S Jorgensen, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO19045 Issued in OR

Practice address

1813 W Harvard Ave Ste 140
Roseburg, OR 97471-2743

Phone

(541) 677-6553

Fax

(541) 677-7023

NPI assigned

Feb 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Family Practice

Education

College of Osteo Med of the Pacific at Pomona, 1991

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Medical Center Hospital, Roseburg, OR, CCN 380027

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Interoperability endpoints

• Direct secure messaging: layne.jorgensen.1@28281.direct.athenahealth.com

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

• Layne S Jorgensen DO, PC

  • Family Medicine Physician
  • Roseburg, OR
  • NPI 1750374484
  NPD (past) Authorized official
• Douglas Medical Clinic PC

  • Nurse Practitioner
  • Roseburg, OR
  • NPI 1033270863

  Family Medicine

  NPD (past)

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

• Commonspirit Oregon

  • General Acute Care Hospital
  • Roseburg, OR
  • NPI 1477590198
  Care Compare affiliation

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1477698173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 W HARVARD AVE STE 140",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712743",
            "telephone_number": "541-677-6553",
            "fax_number": "541-677-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 W HARVARD AVE STE 140",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712743",
            "telephone_number": "541-677-6553",
            "fax_number": "541-677-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "LAYNE",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO19045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068064",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry L Jones
• Natalie Ann Jones, FNP
• Stephanie Jean Jones, SLP
• Elena Ruth Jordan, MD
• Jorgensen Family Medicine PC
• Steven L Jorgensen, DO
• Surya Joseph
• Shashank Joshi, BDS, MS
• Joshua Fisher MD MPH MSC PC
• Rachel Suzanne Judd

• Family Medicine Physician in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.