NPIMap

Organization Active NPI

Western University of Health Sciences

Doing business as WesternU Patient Care

  • Adult Medicine Physician
  • Lebanon, OR
National Provider Identifier
1639555170
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
38807996 Issued in OR
Legal business name
WESTERN UNIVERSITY OF HEALTH SCIENCES
Doing business as
WesternU Patient Care
Practice address
200 Mullins Dr
Lebanon, OR 97355-3983
Phone
(541) 259-0200
NPI assigned
Aug 6, 2015
Last updated
Aug 6, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
WESTERN UNIVERSITY OF HEALTH SCIENCESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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

Authorized official

Name
Mr. Kevin Shaw
Title
Cfo/Treasurer
Phone
(909) 469-5401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 38807996 OR Primary

Addresses

Primary practice location

200 Mullins Dr
Lebanon, OR 97355-3983

Mailing address

795 E 2ND St
Suite 5
Pomona, CA 91766-2007
Phone (909) 865-2565

Other names 1

  • WesternU Patient Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone Progressive7 organizations share this tax ID, including this one
Part of
Cornerstone Progressive

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

200 Mullins Dr
Lebanon, OR 97355
Phone (541) 259-0200

Practitioners & affiliated clinicians

Practitioners 209

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.

View all 209

NPI Registry JSON

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438819200000",
    "number": "1639555170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 E 2ND ST",
            "address_2": "SUITE 5",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917662007",
            "telephone_number": "909-865-2565",
            "fax_number": "909-865-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MULLINS DR",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973553983",
            "telephone_number": "541-259-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN UNIVERSITY OF HEALTH SCIENCES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN UNIVERSITY OF HEALTH SCIENCES",
        "enumeration_date": "2015-08-06",
        "last_updated": "2015-08-06",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CFO/TREASURER",
        "authorized_official_telephone_number": "909-469-5401",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "OR",
            "license": "38807996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WesternU Patient Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lebanon, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.