Organization Active NPI

Janus Medical Group Inc

  • Internal Medicine Physician
  • Roseburg, OR
National Provider Identifier
1518283605
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JANUS MEDICAL GROUP INC
Practice address
1224 NE Walnut St
Roseburg, OR 97470-2026
Phone
(626) 548-2416
NPI assigned
Apr 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Authorized official

Name
Ms. Melissa Henderson
Title
Director
Phone
(626) 548-2416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1224 NE Walnut St
Roseburg, OR 97470-2026

Mailing address

1224 NE Walnut St
Roseburg, OR 97470-2026
Phone (626) 548-2416

National Provider Directory

National Provider Directory

Locations

1224 NE Walnut St
Roseburg, OR 97470
Phone (509) 596-1138

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1518283605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 NE WALNUT ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974702026",
            "telephone_number": "626-548-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 NE WALNUT ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974702026",
            "telephone_number": "626-548-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANUS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "626-548-2416",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.