Douglas N Naversen, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD13032 Issued in OR

Practice address

2959 Siskiyou Blvd
#B
Medford, OR 97504-8131

Phone

(541) 773-3636

Fax

(541) 245-9147

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

DermatologyAlso: Pathology

Education

Ohio State University College of Medicine, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology and Laser Assoc. of MedfordGroup PAC ID 9436122793, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018

Merit-based Incentive Payment System (MIPS)

Final score

95.74 of 100Reported as group

Quality

99.5

Promoting interoperability

100

Improvement activities

40

Cost

86.3

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: dnaversen@dermlasermedford.emadirect.md

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.

• Dermatology and Laser Associates of Medford

  • Dermatology Physician
  • Medford, OR
  • NPI 1336294321
  Medicare reassignment Care Compare group Authorized official

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

• Asante

  • General Acute Care Hospital
  • Medford, OR
  • NPI 1770587107
  Care Compare affiliation

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271635200000",
    "number": "1568405496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2959 SISKIYOU BLVD",
            "address_2": "#B",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048131",
            "telephone_number": "541-773-3636",
            "fax_number": "541-773-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 SISKIYOU BLVD",
            "address_2": "#B",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048131",
            "telephone_number": "541-773-3636",
            "fax_number": "541-245-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVERSEN",
        "first_name": "DOUGLAS",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2010-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD13032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268664",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• National Vision, Inc.
• Nautilus Massage Therapy by Alyse Conley
• Ayse Navarro, RDH
• Maria D. Navarro
• Janine Nave
• Jessica Nawoichik, RN/NP
• Alexandra Danielle Nazimiec, MSW
• Ndcare LLC
• Gladys Ndungu
• Dawn Michele Neal, LPC, CADCII

• Specialist in Medford, OR
• Providers in Medford, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.