Active NPI
David W Chambers, MD
- Otolaryngology Physician
- Medford, OR
National Provider Identifier
1619993953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD21048
- Practice address
- 1170 Royal Ave
Medford, OR 97504-6101 - Phone
- (541) 779-7331
- Fax
- (541) 779-3522
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD21048 | OR | Primary |
Addresses
Primary practice location
1170 Royal Ave
Medford, OR 97504-6101
Mailing address
1170 Royal Ave
Medford, OR 97504-6101
Phone (541) 779-7331
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150994 | Medicaid | OR | |
| 040014118 | Other | OR | RAILROAD MEDICARE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD21048 | OR | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medford Ear Nose and Throat Clinic PC | Otolaryngology | Current | Accepting new patients |
| Oregon Ear Nose and Throat Surgery | Current | Accepting new patients |
Locations
1170 Royal Ave
Medford, OR 97504
Phone (541) 512-4771
Organizations & group practices 2
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.
-
- Otolaryngology Physician
- Medford, OR
- NPI 1669490546
-
- Ambulatory Surgical Clinic/Center
- Medford, OR
- NPI 1275821746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331856000000",
"number": "1619993953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1170 ROYAL AVE",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975046101",
"telephone_number": "541-779-7331",
"fax_number": "541-779-3522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1170 ROYAL AVE",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975046101",
"telephone_number": "541-779-7331",
"fax_number": "541-779-3522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMBERS",
"first_name": "DAVID",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2012-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "OR",
"license": "MD21048",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "150994",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "040014118",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.