Active NPI
Michael Ernest Price, MD
- Family Medicine Physician
- Redmond, OR
National Provider Identifier
1508966227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 14090
- Practice address
- 1022 SW 55TH PL
Redmond, OR 97756-9209 - Phone
- (541) 548-6670
- NPI assigned
- Sep 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 14090 | OR | Primary |
Addresses
Primary practice location
1022 SW 55TH PL
Redmond, OR 97756-9209
Mailing address
1022 SW 55TH PL
Redmond, OR 97756-9209
Phone (541) 548-6670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 221903 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14090 | OR | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508966227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1022 SW 55TH PL",
"city": "REDMOND",
"state": "OR",
"postal_code": "977569209",
"telephone_number": "541-548-6670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1022 SW 55TH PL",
"city": "REDMOND",
"state": "OR",
"postal_code": "977569209",
"telephone_number": "541-548-6670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "MICHAEL",
"middle_name": "ERNEST",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "14090",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "221903",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Redmond, OR
- Prescryptive Pharmacy & Patient Services Inc
- Prescryptive Pharmacy & Patient Services Inc
- Prescryptive Pharmacy & Patient Services Inc
- Prescryptive Pharmacy & Patient Services Inc
- Amber Price
- Ashley Prothero, RN, QMHP
- Cory Prothorp, QMHA
- Joseph A Puentes IV
- Catherine M Quas, DMD
- Emily Ruth Radler, CSWA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.