NPIMap

Organization Active NPI

South West Internal Medicine LLC

  • General Practice Physician
  • Coquille, OR
National Provider Identifier
1497203194
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SOUTH WEST INTERNAL MEDICINE LLC
Practice address
209 N Central Blvd
Coquille, OR 97423-1274
Phone
(541) 329-0144
Fax
(541) 329-0143
NPI assigned
Sep 12, 2016
Last updated
Jun 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Dr. Douglas Crane, M.D.NPI 1689650673
Title
Owner
Phone
(541) 329-0144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

209 N Central Blvd
Coquille, OR 97423-1274

Mailing address

PO Box 194
Coquille, OR 97423-0194
Phone (541) 329-0144

Other practice location 1

913 11th St SE Ste 1
Bandon, OR 97411-9168
Phone (541) 329-0144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170313002271 OR Part B Supplier - Clinic/Group Practice 1052691987 Receives reassigned benefits from 5 practitioners
Practice locations: Bandon, OR; Coquille, OR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1473638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1497203194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 194",
            "city": "COQUILLE",
            "state": "OR",
            "postal_code": "974230194",
            "telephone_number": "541-329-0144",
            "fax_number": "541-329-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N CENTRAL BLVD",
            "city": "COQUILLE",
            "state": "OR",
            "postal_code": "974231274",
            "telephone_number": "541-329-0144",
            "fax_number": "541-329-0143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "913 11th St SE Ste 1",
            "address_purpose": "LOCATION",
            "city": "Bandon",
            "state": "OR",
            "postal_code": "974119168",
            "country_code": "US",
            "telephone_number": "541-329-0144",
            "fax_number": "541-329-0143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH WEST INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-12",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "CRANE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-329-0144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coquille, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.