NPIMap

Organization Active NPI

Samaritan Pacific Health Services Inc

Doing business as Samaritan Endocrinology - Newport

  • Endocrinology, Diabetes & Metabolism Physician
  • Newport, OR
National Provider Identifier
1669060505
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
SAMARITAN PACIFIC HEALTH SERVICES INC
Doing business as
Samaritan Endocrinology - Newport
Practice address
930 SW Abbey St Ste B
Newport, OR 97365-4820
Phone
(541) 768-7900
NPI assigned
Jan 6, 2021
Last updated
Jan 6, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SAMARITAN PACIFIC HEALTH SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Dr. Lesley J Ogden
Title
Ceo-SPCH
Phone
(541) 768-6765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU Primary

Addresses

Primary practice location

930 SW Abbey St Ste B
Newport, OR 97365-4820

Mailing address

PO Box 1189
Corvallis, OR 97339-1189
Phone (541) 574-4960

Other names 1

  • Samaritan Endocrinology - Newport Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040204000304 OR Part B Supplier - Clinic/Group Practice 2466353529 Receives reassigned benefits from 384 practitioners
25 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Newport, OR; Depoe Bay, OR

Other NPIs on the same Medicare enrollment 24

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 24

National Provider Directory

National Provider Directory
Tax ID family
Samaritan Pacific Healt10 organizations share this tax ID, including this one
Part of
Samaritan Pacific Healt

Other organizations with this tax ID 9

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

Practitioners & affiliated clinicians

Practitioners 24

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 24

NPI Registry JSON

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1669060505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189",
            "telephone_number": "541-574-4960",
            "fax_number": "541-574-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 SW ABBEY ST STE B",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973654820",
            "telephone_number": "541-768-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN PACIFIC HEALTH SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAMARITAN PACIFIC HEALTH SERVICES INC",
        "enumeration_date": "2021-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "OGDEN",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO-SPCH",
        "authorized_official_telephone_number": "541-768-6765",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samaritan Endocrinology - Newport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.