Dr. King Scope Clinic, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD13871 Issued in OR

Legal business name

DR. KING SCOPE CLINIC, LLC

Practice address

2699 N 17TH St
Coos Bay, OR 97420-2134

Phone

(541) 269-7358

NPI assigned

Mar 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. William D. King, MD

Title

Owner

Phone

(541) 269-7358

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1528333010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WILLAGILLESPIE RD",
            "address_2": "SUITE 350",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012178",
            "telephone_number": "541-343-0952",
            "fax_number": "541-343-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2699 N 17TH ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202134",
            "telephone_number": "541-269-7358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KING SCOPE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-269-7358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD13871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keithlee Gael Orpilla Dolinta, DO
• Tony Donato, MS, MFT, LPC
• Jesse Allen Dorfmeister, FNP
• Lina Dorfmeister, CRNA
• Erin Lynn Dozhier, QMHP-R
• Dr. Mike & Friends Pediatrics PC
• Dr. Mike and Friends Pediatrics,P.C.
• Ginger M Drake
• Patricia K Dudas, CFNP
• Audrey M Duke, FNP

• Internal Medicine Physician in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.