Individual provider Active NPI

William Charles Husum, MD

  • Internal Medicine Physician
  • Medford, OR
National Provider Identifier
1528082666
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD09744 Issued in OR
Practice address
2900 Doctors Park Dr
Medford, OR 97504-8127
Phone
(541) 282-2200
Fax
(541) 282-2237
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD09744 OR Primary

Addresses

Primary practice location

2900 Doctors Park Dr
Medford, OR 97504-8127

Mailing address

2900 Doctors Park Dr
Medford, OR 97504-8127
Phone (541) 282-2200

Other identifiers 1

IdentifierTypeStateIssuer
086199MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Toledo College of Medicine, 1972
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2900 Doctors Park Dr
Suite 200
Medford, OR 97504-4348

2900 Doctors Park Dr
Suite 200
Medford, OR 97504-8198

Hospital & facility affiliations

  • Accentcare Home Health of Rogue Valley, LLC Home health agency, Medford, OR, CCN 387098
  • Assured Home Health Home health agency, Grants Pass, OR, CCN 387076
  • Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018
  • Providence Medford Medical Center Hospital, Medford, OR, CCN 380075
  • Asante Three Rivers Medical Center Hospital, Grants Pass, OR, CCN 380002
  • Asante Ashland Community Hospital Hospital, Ashland, OR, CCN 380005

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rogue Valley Physicians PC Internal Medicine CurrentSince Feb 1, 2000 Accepting new patients
Rogue Valley Physicians CurrentSince Feb 1, 2000 Accepting new patients
Rogue Valley Physicians Internal Medicine Current Accepting new patients

Locations

615 S 2nd St
Central Point, OR 97502
Phone (541) 789-4004

2900 Doctors Park Dr
Medford, OR 97504
Phone (541) 282-2200

2900 Doctors Park Dr
Ste 200
Medford, OR 97504
Phone (541) 282-2200

2900 Doctors Park Dr
Ste 250
Medford, OR 97504
Phone (541) 282-2208

Interoperability endpoints

  • Direct secure messaging: william.husum@direct.rvpdocs.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1528082666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 DOCTORS PARK DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048127",
            "telephone_number": "541-282-2200",
            "fax_number": "541-282-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 DOCTORS PARK DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048127",
            "telephone_number": "541-282-2200",
            "fax_number": "541-282-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSUM",
        "first_name": "WILLIAM",
        "middle_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD09744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086199",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.