Family Care Center PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD23253 Issued in OR

Legal business name

FAMILY CARE CENTER PC

Practice address

1001 NW Canal Blvd Ste 101
Redmond, OR 97756-1697

Phone

(541) 548-8088

Fax

(541) 548-8018

NPI assigned

Feb 28, 2006

Last updated

Jan 25, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Rose J Kenny, MDNPI 1194975037

Title

Physician

Phone

(541) 548-8088

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• Rose J Kenny, M.D.

  • Family Medicine Physician
  • Redmond, OR
  • NPI 1194975037
  Authorized official Same address or phone

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1508832411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 NW CANAL BLVD STE 101",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561697",
            "telephone_number": "541-548-8088",
            "fax_number": "541-548-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 NW CANAL BLVD STE 101",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561697",
            "telephone_number": "541-548-8088",
            "fax_number": "541-548-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "KENNY",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "541-548-8088",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD23253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "228793",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1194975037",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Len Fadness
• Denise Leann Fain, FNP-C
• Amanda Fair, PA-C
• Eden Fair, FNP-C
• Jennifer Ann Faircloth, OT
• Mary Cathleen Farnsworth, PMHNP
• Carrington Lee Hanh Fastelin
• Allison Faucher Sherman
• Judith Faustima, LMFT
• Richard W Fawcett, M.D.

• Family Medicine Physician in Redmond, OR
• Providers in Redmond, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.