NPIMap

Organization Active NPI

Lancaster Medical Clinic

  • General Practice Physician
  • Salem, OR
National Provider Identifier
1487956512
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD05881 Issued in OR
Legal business name
LANCASTER MEDICAL CLINIC
Practice address
1880 Lancaster Dr NE
Suite 127
Salem, OR 97305-1089
Phone
(503) 581-1113
Fax
(503) 363-4997
NPI assigned
Nov 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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

Authorized official

Name
Floyd Douglas Day, M.D.
Title
Owner/Physician
Phone
(503) 282-2502

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X MD05881 OR
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X MD05881 OR
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X MD05881 OR Primary

Addresses

Primary practice location

1880 Lancaster Dr NE
Suite 127
Salem, OR 97305-1089

Mailing address

2252 Lloyd Ctr
Portland, OR 97232-1311
Phone (503) 282-2502

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1487956512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2252 LLOYD CTR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321311",
            "telephone_number": "503-282-2502",
            "fax_number": "503-249-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 LANCASTER DR NE",
            "address_2": "SUITE 127",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973051089",
            "telephone_number": "503-581-1113",
            "fax_number": "503-363-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "FLOYD",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "503-282-2502",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD05881",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OR",
            "license": "MD05881",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "OR",
            "license": "MD05881",
            "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 Nov 22, 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.