Individual provider Active NPI

Stephanie Ann Laudert, MD

  • Family Medicine Physician
  • Gold Beach, OR
National Provider Identifier
1548600208
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD182805 Issued in OR
Practice address
Curry Medical Practice
94220 4TH Street
Gold Beach, OR 97444
Phone
(541) 247-3910
Fax
(541) 247-3109
NPI assigned
Jun 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD182805 OR Primary

Addresses

Primary practice location

Curry Medical Practice
94220 4TH Street
Gold Beach, OR 97444

Mailing address

Curry Medical Practice
94220 4TH Street
Gold Beach, OR 97444
Phone (541) 247-3910

Other practice location 1

2821 Daggett Ave Ste 100
Klamath Falls, OR 97601-1106
Phone (541) 274-6733

Other identifiers 4

IdentifierTypeStateIssuer
MD182805OtherOROREGON MEDICAL BOARD
500713549MedicaidOR
1487696985OtherORCURRY GENERAL HOSPITAL NPI
1346486818OtherORCURRY MEDICAL PRACTICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180827001106 OR Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 2769762798 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Oregon Health Sciences University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curry Health DistrictGroup PAC ID 2365352747, 7 clinicians

Practice addresses (Care Compare)

94180 2ND St
Gold Beach, OR 97444-8733
Phone (541) 247-3000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sky Lakes Medical Center Inc CurrentSince Sep 6, 2019 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Sep 6, 2019 Accepting new patients
Curry Health District CurrentSince Aug 1, 2018 Accepting new patients
Curry Health District CurrentSince Aug 1, 2018 Accepting new patients
Curry Health District Past Accepting new patients

Locations

94220 4th St
Gold Beach, OR 97444
Phone (541) 247-3000

94180 2nd St
Gold Beach, OR 97444
Phone (541) 247-3940

2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 833-6221

2801 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 274-4510

2821 Daggett Ave
Ste 100
Klamath Falls, OR 97601
Phone (541) 274-4611

Interoperability endpoints

  • Direct secure messaging: slaudert3366612@oc.providencedirect.org

Organizations & group practices 5

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 4

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": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1548600208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CURRY MEDICAL PRACTICE",
            "address_2": "94220 4TH STREET",
            "city": "GOLD BEACH",
            "state": "OR",
            "postal_code": "97444",
            "telephone_number": "541-247-3910",
            "fax_number": "541-247-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CURRY MEDICAL PRACTICE",
            "address_2": "94220 4TH STREET",
            "city": "GOLD BEACH",
            "state": "OR",
            "postal_code": "97444",
            "telephone_number": "541-247-3910",
            "fax_number": "541-247-3109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2821 Daggett Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Klamath Falls",
            "state": "OR",
            "postal_code": "976011106",
            "country_code": "US",
            "telephone_number": "541-274-6733",
            "fax_number": "541-274-2006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAUDERT",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD182805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON MEDICAL BOARD",
            "identifier": "MD182805",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500713549",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CURRY GENERAL HOSPITAL NPI",
            "identifier": "1487696985",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CURRY MEDICAL PRACTICE",
            "identifier": "1346486818",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gold Beach, OR

Sources for this page

Verify at the official NPI Registry.