Seaside Urgent Care

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

MD19990 Issued in OR

Legal business name

SEASIDE URGENT CARE

Practice address

580 Avenue U
Seaside, OR 97138-5065

Phone

(503) 738-9112

NPI assigned

Feb 2, 2008

Last updated

Feb 2, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joann Stefanelli

Title

Practice Manager

Phone

(503) 738-9112

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1201910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201910400000",
    "number": "1578741427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 AVENUE U",
            "city": "SEASIDE",
            "state": "OR",
            "postal_code": "971385065",
            "telephone_number": "503-738-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 AVENUE U",
            "city": "SEASIDE",
            "state": "OR",
            "postal_code": "971385065",
            "telephone_number": "503-738-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-02",
        "last_updated": "2008-02-02",
        "status": "A",
        "authorized_official_last_name": "STEFANELLI",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "503-738-9112"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "OR",
            "license": "MD19990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Scurrah, MD
• Seaside Chiropractic Clinic P C
• Seaside Dental Clinic
• Seaside Precision Vision
• Seaside Senior Living LLC (NECANICUM VILLAGE Assisted Living & Memory Care Community)
• Seaside Wellness Center LLC
• Lori Sue Shellman, APRN
• Rachel A Shepard, FNP
• Laurie Simpkins
• Robyn Simpson

• Emergency Medical Services (Emergency Medicine) Physician in Seaside, OR
• Providers in Seaside, OR by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2008; 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.