Individual provider Active NPI

Christopher F. Amsden, MD

  • Pain Medicine Physician
  • Gold Beach, OR
National Provider Identifier
1518054097
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
165737 Issued in OR
Practice address
94220 4TH St
Gold Beach, OR 97444-7756
Phone
(541) 247-3000
Fax
(541) 247-3101
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 165737 OR
Pain Medicine Physician 208VP0000X 165737 OR Primary

Addresses

Primary practice location

94220 4TH St
Gold Beach, OR 97444-7756

Mailing address

1574 Coburg Rd # 265
Eugene, OR 97401-4802
Phone (541) 271-6330

Other identifiers 3

IdentifierTypeStateIssuer
1487696985OtherORCURRY HEALTH DISTRICT NPI
500668231MedicaidOR
930937095OtherORCURRY HEALTH DISTRICT TAX ID

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
I20140311000561 OR Practitioner - Physical Medicine and Rehabilitation 7012051790 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
165737ORMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lower Umpqua Hospital District CurrentSince Sep 27, 2014 Accepting new patients
Lower Umpqua Hospital District CurrentSince Sep 27, 2014 Accepting new patients
Lower Umpqua Hospital District Current Accepting new patients
Curry Health District CurrentSince Nov 29, 2014 Accepting new patients
Curry Health District CurrentSince Nov 29, 2014 Accepting new patients
Lags Spine and Sportscare Medical Centers, Inc. Past Accepting new patients
Universal Healthcare Professional Medical PC PastSince Sep 9, 2016 Accepting new patients
Regenerative Spine, Pain, and Neuropathy Centers, Inc. PastSince Jun 22, 2021 Accepting new patients

Locations

648 Chetco Ave
Brookings, OR 97415
Phone (541) 412-2070

500 5th St
Brookings, OR 97415
Phone (541) 412-2000

94220 4th St
Gold Beach, OR 97444
Phone (541) 247-3000

385 Ranch Rd
Reedsport, OR 97467
Phone (541) 271-2119

600 Ranch Rd
Reedsport, OR 97467
Phone (541) 271-2171

Interoperability endpoints

  • Direct secure messaging: camsden3309516@oc.providencedirect.org
  • Direct secure messaging: camsden17613@hisp.ehr.sutterhealth.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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1518054097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1574 COBURG RD # 265",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014802",
            "telephone_number": "541-271-6330",
            "fax_number": "541-271-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94220 4TH ST",
            "city": "GOLD BEACH",
            "state": "OR",
            "postal_code": "974447756",
            "telephone_number": "541-247-3000",
            "fax_number": "541-247-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMSDEN",
        "first_name": "CHRISTOPHER",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OR",
            "license": "165737",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OR",
            "license": "165737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CURRY HEALTH DISTRICT NPI",
            "identifier": "1487696985",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500668231",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CURRY HEALTH DISTRICT TAX ID",
            "identifier": "930937095",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gold Beach, OR

Sources for this page

Verify at the official NPI Registry.