NPIMap

Organization Active NPI

App Maternal Fetal Medicine

  • Maternal & Fetal Medicine Physician
  • Medford, OR
National Provider Identifier
1538402003
Registry record updated Apr 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
APP MATERNAL FETAL MEDICINE
Practice address
2911 Siskiyou Blvd
Medford, OR 97504-8179
Phone
(541) 789-5982
NPI assigned
Apr 2, 2013
Organization subpart
Yes
Parent organization
ASANTE PHYSICIAN PARTNERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2013

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

Authorized official

Name
Sheri Bodager
Title
VP Exective Director
Phone
(541) 789-4129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VM0101X Primary

Addresses

Primary practice location

2911 Siskiyou Blvd
Medford, OR 97504-8179

Mailing address

PO Box 748157
Los Angeles, CA 90074-8157
Phone (541) 789-5250

National Provider Directory

National Provider Directory
Tax ID family
Asante Physcian Partners10 organizations share this tax ID, including this one
Part of
Asante Physcian Partners

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364860800000",
    "number": "1538402003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748157",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900748157",
            "telephone_number": "541-789-5250",
            "fax_number": "541-789-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 SISKIYOU BLVD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048179",
            "telephone_number": "541-789-5982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APP MATERNAL FETAL MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASANTE PHYSICIAN PARTNERS",
        "enumeration_date": "2013-04-02",
        "last_updated": "2013-04-02",
        "status": "A",
        "authorized_official_last_name": "BODAGER",
        "authorized_official_first_name": "SHERI",
        "authorized_official_title_or_position": "VP EXECTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-789-4129"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; 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.