Individual provider Active NPI

Michael Hugh McQueen, MD

  • Family Medicine Physician
  • Baker City, OR
National Provider Identifier
1497720460
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD20138 Issued in OR
Practice address
3325 Pocahontas Rd
Baker City, OR 97814-1464
Phone
(541) 523-8111
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD20138 OR Primary

Addresses

Primary practice location

3325 Pocahontas Rd
Baker City, OR 97814-1464

Mailing address

PO Box 1365
Silverton, OR 97381-0349
Phone (541) 786-1133

Other practice location 1

2902 Tom Tennant Dr
Woodburn, OR 97071-2828
Phone (541) 640-7625

Other practice location 2

186 W Ellendale Ave
Dallas, OR 97338-1408
Phone (541) 640-7625

Other practice location 3

1755 SW Baker St
McMinnville, OR 97128-9112
Phone (541) 640-7625

Other practice location 4

3400 Cooperative Way
Lebanon, OR 97355-4063
Phone (541) 640-7625

Other identifiers 1

IdentifierTypeStateIssuer
151313MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040624001074 OR Practitioner - Emergency MedicinePractitioner - Family Practice 3577549351 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Icco, LLC Current Accepting new patients
Saint Alphonsus Medical Center Baker City, Inc CurrentSince Oct 19, 2013 Accepting new patients
Saint Alphonsus Medical Center Baker City, Inc Family Medicine CurrentSince Oct 19, 2013 Accepting new patients
Icco LLC CurrentSince Apr 3, 2023 Accepting new patients
Icco LLC CurrentSince Apr 3, 2023 Accepting new patients
Salem Health West Valley CurrentSince Jan 7, 2024 Accepting new patients
Eastern Oregon Audiology Inc PastSince May 24, 1999 Accepting new patients
Michael H. McQueen M.D P.C Family Medicine Past Accepting new patients

Locations

3325 Pocahontas Rd
Baker City, OR 97814
Phone (541) 523-1797

186 W Ellendale Ave
Dallas, OR 97338
Phone (971) 900-4984

525 SE Washington St
Dallas, OR 97338
Phone (503) 623-7344

598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473

1601 Monmouth St
Ste 100
Independence, OR 97351
Phone (503) 623-8301

3737 Shasta Way
Ste A
Klamath Falls, OR 97603
Phone (541) 883-2337

3400 Cooperative Way
Lebanon, OR 97355
Phone (541) 333-6605

1755 SW Baker St
McMinnville, OR 97128
Phone (971) 900-4522

Interoperability endpoints

  • Direct secure messaging: mmcqueen1563883@direct.trinity-health.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1497720460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1365",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973810349",
            "telephone_number": "541-786-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 POCAHONTAS RD",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978141464",
            "telephone_number": "541-523-8111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2902 Tom Tennant Dr",
            "address_purpose": "LOCATION",
            "city": "Woodburn",
            "state": "OR",
            "postal_code": "970712828",
            "country_code": "US",
            "telephone_number": "541-640-7625",
            "fax_number": "541-644-3477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "186 W Ellendale Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "OR",
            "postal_code": "973381408",
            "country_code": "US",
            "telephone_number": "541-640-7625",
            "fax_number": "541-644-3477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1755 SW Baker St",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "OR",
            "postal_code": "971289112",
            "country_code": "US",
            "telephone_number": "541-640-7625",
            "fax_number": "541-644-3477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Cooperative Way",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OR",
            "postal_code": "973554063",
            "country_code": "US",
            "telephone_number": "541-640-7625",
            "fax_number": "541-644-3477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCQUEEN",
        "first_name": "MICHAEL",
        "middle_name": "HUGH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD20138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151313",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baker City, OR

Sources for this page

Verify at the official NPI Registry.