South Umpqua Integrated Health LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SOUTH UMPQUA INTEGRATED HEALTH LLC

Practice address

244 NE Division St
Myrtle Creek, OR 97457-8507

Phone

(541) 680-9028

NPI assigned

Apr 29, 2019

Last updated

Apr 29, 2019By 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

Dr. Mike Shirtcliff, DMD

Title

Owner/Dentist

Phone

(541) 680-9028

Specialties & licenses 3

Addresses

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.

• Ralph Michael Shirtcliff, D.M.D.

  • Dentist
  • Myrtle Creek, OR
  • NPI 1831371699
  NPD

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556496000000",
    "number": "1518521194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3008",
            "city": "MYRTLE CREEK",
            "state": "OR",
            "postal_code": "974570014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 NE DIVISION ST",
            "city": "MYRTLE CREEK",
            "state": "OR",
            "postal_code": "974578507",
            "telephone_number": "541-680-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH UMPQUA INTEGRATED HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-04-29",
        "status": "A",
        "authorized_official_last_name": "SHIRTCLIFF",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "541-680-9028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Savage, PHARM.D (RPH)
• Jaime Francisco Serranzana, MD
• Ralph Michael Shirtcliff, D.M.D.
• Kristina A Skinner, FNP
• Jackie J Sochin, FNP - CERTIFIED
• Christopher L Stern, LMT
• Kimberlly Joy Stevens, FNP
• Therapeutic Associates Inc (TAI - Myrtle Creek Physical Therapy)
• Trang Tran
• Tricity Chiropractic

• Dentist in Myrtle Creek, OR
• Providers in Myrtle Creek, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.