Vinod K Vinjamuri MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD18179 Issued in OR

Legal business name

VINOD K VINJAMURI MD LLC

Doing business as

Gleneden Beach Medical Center

Practice address

6615 Gleneden Beach Loop
Gleneden Beach, OR 97388

Phone

(541) 764-3360

Fax

(541) 764-3362

NPI assigned

Aug 1, 2006

Last updated

Mar 13, 2015By 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

Vinod K Vinjamuri, MDNPI 1720089345

Title

Physician

Phone

(541) 764-3360

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GLENEDEN BEACH MEDICAL CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 3

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.

• Vinod K Vinjamuri, MD

  • Internal Medicine Physician
  • Gleneden Beach, OR
  • NPI 1720089345
  Medicare reassignment NPD Authorized official
• Marcia Jennifer Adams, M.D.

  • Family Medicine Physician
  • Newport, OR
  • NPI 1063469484
  NPD (past)
• Nazmul Hoque, MD

  • Gastroenterology Physician
  • Newport, OR
  • NPI 1740280429

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1508873779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 279",
            "city": "GLENEDEN BEACH",
            "state": "OR",
            "postal_code": "973880279",
            "telephone_number": "541-764-3360",
            "fax_number": "541-764-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 GLENEDEN BEACH LOOP",
            "city": "GLENEDEN BEACH",
            "state": "OR",
            "postal_code": "97388",
            "telephone_number": "541-764-3360",
            "fax_number": "541-764-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINOD K VINJAMURI MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "VINJAMURI",
        "authorized_official_first_name": "VINOD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "541-764-3360",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD18179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051867",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLENEDEN BEACH MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renew Consulting, Inc.
• Nancy Leah Resnikoff, LMFT
• Kathleen Diane Rich, PHD LCSW
• Sara Vanwinkle
• Vinod K Vinjamuri, MD
• Dean Robins Wentworth, FNP

• Internal Medicine Physician in Gleneden Beach, OR
• Providers in Gleneden Beach, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.