Salem Sleep Medicine, PC

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

Legal business name

SALEM SLEEP MEDICINE, PC

Practice address

925 Commercial St SE
Suite 102
Salem, OR 97302-4172

Phone

(503) 657-8663

NPI assigned

Oct 18, 2010

Organization subpart

No

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

Authorized official

Name

Hyong Shim, M.D.NPI 1144261538

Title

President

Phone

(503) 657-8663

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hyong W Shim, M.D.

  • Internal Medicine Physician
  • Salem, OR
  • NPI 1144261538
  Medicare reassignment Care Compare group NPD Authorized official
• Katherine L J Molyneux, PA-C

  • Physician Assistant
  • Lake Oswego, OR
  • NPI 1902096936
  Medicare reassignment Care Compare group
• Theron J Wiese, PA-C

  • Medical Physician Assistant
  • Salem, OR
  • NPI 1841648862
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1578873097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 921",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970710921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 COMMERCIAL ST SE",
            "address_2": "SUITE 102",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024172",
            "telephone_number": "503-657-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM SLEEP MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "SHIM",
        "authorized_official_first_name": "HYONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-657-8663",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salem Pulmonary Associates P.C.
• Salem Radiology Consultants PC
• Salem Rehabilitation Associates, Inc.
• Salem Rheumatology & Infusions LLC
• Salem Rheumatology, LLC
• Salem Surgery Center, LLC
• Salem Travel Clinic, LLC
• Salem Vascular Consultants, LLP
• Salem Vascular, PC
• Salem West of Cascadia, LLC

• Sleep Medicine (Internal Medicine) Physician in Salem, OR
• Providers in Salem, OR by specialty
• Sleep Medicine (Internal Medicine) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.