Applegate Valley Family Medicine, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

222705-99 Issued in OR

Legal business name

APPLEGATE VALLEY FAMILY MEDICINE, LLC

Practice address

8600 New Hope Rd
Grants Pass, OR 97527-8978

Phone

(541) 862-2836

Fax

(541) 862-2806

NPI assigned

Sep 16, 2006

Last updated

May 31, 2019By 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

Roger M Fogg, FNP-CNPI 1558467852

Title

Owner

Phone

(541) 862-2836

Specialties & licenses 1

Addresses

Other names 1

• Applegate Valley Family Medicine Other name

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roger M Fogg, FNP-C

  • Family Nurse Practitioner
  • Grants Pass, OR
  • NPI 1558467852
  Authorized official Same address or phone
• Chutuoc Christine Trandinh, M.D.

  • Internal Medicine Physician
  • Grants Pass, OR
  • NPI 1891790523
  NPD
• Joan P Duncan, PA-C

  • Physician Assistant
  • Grants Pass, OR
  • NPI 1407947732
  NPD (past)
• Donna Mullarkey, MD

  • Family Medicine Physician
  • Williamsport, PA
  • NPI 1376588426
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559260800000",
    "number": "1629174495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 NEW HOPE RD",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975278978",
            "telephone_number": "541-862-2836",
            "fax_number": "541-862-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 NEW HOPE RD",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975278978",
            "telephone_number": "541-862-2836",
            "fax_number": "541-862-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLEGATE VALLEY FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2019-05-31",
        "status": "A",
        "authorized_official_last_name": "FOGG",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-862-2836",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "222705-99",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Applegate Valley Family Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• App ENT
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• App Three Rivers Medical Group
• App Urology Clinic
• David M Appleby, MD
• Josephine Aquino, RN
• Paul C Aragon, CADC II
• James Arcand, D.C.
• Arete NW, LLC (Arete Sleep Health)
• Kay Ann Armas, DEM

• Family Nurse Practitioner in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; 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.