NPIMap

Organization Active NPI

Lithia Women's Healthcare LLC

  • Gynecology Physician
  • Ashland, OR
National Provider Identifier
1477729754
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
MD22222 Issued in OR
Legal business name
LITHIA WOMEN'S HEALTHCARE LLC
Practice address
725 N. Main St.
Ashland, OR 97520-1752
Phone
(541) 482-6060
Fax
(541) 482-0187
NPI assigned
May 6, 2008
Last updated
Jan 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Authorized official

Name
Dr. Julie Pearson, M.D.NPI 1649367178
Title
Owner
Phone
(541) 482-6060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X MD22222 OR Primary

Addresses

Primary practice location

725 N. Main St.
Ashland, OR 97520-1752

Mailing address

1208 Beall LN
Central Point, OR 97502-1573
Phone (541) 664-5151

Other identifiers 1

IdentifierTypeStateIssuer
130310MedicaidOR

National Provider Directory

National Provider Directory

Locations

725 N Main St
Ashland, OR 97520
Phone (541) 482-6060

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1477729754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 BEALL LN",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975021573",
            "telephone_number": "541-664-5151",
            "fax_number": "877-772-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N. MAIN ST.",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201752",
            "telephone_number": "541-482-6060",
            "fax_number": "541-482-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITHIA WOMEN'S HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-482-6060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OR",
            "license": "MD22222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130310",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.