Organization Active NPI

Gypsum Medical Associates of Oregon, PC

  • Family Medicine Physician
  • Salem, OR
National Provider Identifier
1659241834
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GYPSUM MEDICAL ASSOCIATES OF OREGON, PC
Practice address
960 Liberty St SE
Salem, OR 97302-4171
Phone
(815) 363-9500
NPI assigned
Nov 11, 2025
Last updated
Nov 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Authorized official

Name
Dr. Edward Palmer, MD
Title
President
Phone
(815) 363-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

960 Liberty St SE
Salem, OR 97302-4171

Mailing address

4805 Prime Pkwy
McHenry, IL 60050-7002

National Provider Directory

National Provider Directory
Tax ID family
Gypsum Medical Associates of Oregon PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

960 Liberty St SE
Salem, OR 97302
Phone (503) 991-2494

NPI Registry JSON

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

{
    "created_epoch": "1762819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1659241834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 PRIME PKWY",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600507002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024171",
            "telephone_number": "815-363-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYPSUM MEDICAL ASSOCIATES OF OREGON, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-11",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-363-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.