Active NPI
Beth E Blumenstein, M.D.
- Family Medicine Physician
- La Pine, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD24032
- Practice address
- 51600 Huntington Rd
La Pine, OR 97739-8887 - Phone
- (541) 536-3435
- Fax
- (541) 536-8047
- NPI assigned
- Feb 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD24032 | OR | Primary |
Addresses
Primary practice location
51600 Huntington Rd
La Pine, OR 97739-8887
Mailing address
PO Box 3300
La Pine, OR 97739-3300
Phone (541) 536-3435
Other practice location 1
56881 Enterprise Dr
Sunriver, OR 97707-2120
Phone (541) 536-3435
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 286315 | Medicaid | OR |
Other names 1
- Beth E Baslaw
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Michigan State University College of Human Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Umpqua Community Health Center Inc
Practice addresses (Care Compare)
150 NE Kenneth Ford Dr
Roseburg, OR 97470-1042
Phone (541) 672-9596
20170 N Umpqua Hwy
Glide, OR 97443-9620
Phone (541) 496-3504
Hospital & facility affiliations
- Amedisys Home Health Care
- Mercy Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umpqua Community Health Center, Inc. | Current | Accepting new patients | |
| Umpqua Community Health Center, Inc. | Current | Accepting new patients | |
| Cow Creek Band of Umpqua Tribe of Indians | Past | Accepting new patients |
Locations
150 NE Kenneth Ford Dr
Roseburg, OR 97470
Interoperability endpoints
- bblumenstein243883@direct.ochin.org
- beth.blumenstein.1@17792.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Roseburg, OR
- NPI 1396751772
-
- Federally Qualified Health Center (FQHC)
- Roseburg, OR
- NPI 1720803810
-
- Federally Qualified Health Center (FQHC)
- Canyonville, OR
- NPI 1134567993
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Roseburg, OR
- NPI 1093908725
-
- General Acute Care Hospital
- Roseburg, OR
- NPI 1477590198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537488000000",
"number": "1497727150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3300",
"city": "LA PINE",
"state": "OR",
"postal_code": "977393300",
"telephone_number": "541-536-3435",
"fax_number": "541-536-8047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51600 HUNTINGTON RD",
"city": "LA PINE",
"state": "OR",
"postal_code": "977398887",
"telephone_number": "541-536-3435",
"fax_number": "541-536-8047"
}
],
"practiceLocations": [
{
"address_1": "56881 Enterprise Dr",
"address_purpose": "LOCATION",
"city": "Sunriver",
"state": "OR",
"postal_code": "977072120",
"country_code": "US",
"telephone_number": "541-536-3435",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLUMENSTEIN",
"first_name": "BETH",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-06",
"last_updated": "2018-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD24032",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "286315",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BETH",
"last_name": "BASLAW",
"middle_name": "E",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in La Pine, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.