Individual provider Active NPI

Malcolm C Townsley, MD

  • Internal Medicine Physician
  • Pendleton, OR
National Provider Identifier
1609866458
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20441 Issued in OR
Practice address
3001 St Anthony Way
Pendleton, OR 97801-3836
Phone
(541) 966-0535
Fax
(541) 278-4597
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 68287 OR
Internal Medicine Physician 207R00000X 20441 OR Primary

Addresses

Primary practice location

3001 St Anthony Way
Pendleton, OR 97801-3836

Mailing address

2801 St Anthony Way
Pendleton, OR 97801-3800
Phone (541) 966-0535

Other identifiers 1

IdentifierTypeStateIssuer
150421MedicaidOR

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
I20080501000605 OR Practitioner - Internal Medicine 6507967858 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20441ORMDInternal Medicine Physician
68287ORMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonspirit Oregon CurrentSince Mar 1, 2020 Accepting new patients
Commonspirit Oregon Past Accepting new patients

Locations

2801 St Anthony Way
Pendleton, OR 97801
Phone (541) 276-5121

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1609866458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 ST ANTHONY WAY",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013800",
            "telephone_number": "541-966-0535",
            "fax_number": "541-278-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 ST ANTHONY WAY",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013836",
            "telephone_number": "541-966-0535",
            "fax_number": "541-278-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNSLEY",
        "first_name": "MALCOLM",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OR",
            "license": "68287",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "20441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150421",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pendleton, OR

Sources for this page

Verify at the official NPI Registry.