Columbia Sands Medical Specialities, LLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

COLUMBIA SANDS MEDICAL SPECIALITIES, LLC

Practice address

1245 NW 4TH St Ste 201
Redmond, OR 97756-1680

Phone

(541) 526-6626

NPI assigned

Aug 14, 2009

Organization subpart

No

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

Authorized official

Name

Richard W Fawcett, MDNPI 1124056494

Title

Owner

Phone

(541) 408-0436

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard W Fawcett, M.D.

  • Specialist
  • Redmond, OR
  • NPI 1124056494
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254355200000",
    "number": "1679705289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 NW 4TH ST STE 201",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561680",
            "telephone_number": "541-526-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 NW 4TH ST STE 201",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561680",
            "telephone_number": "541-526-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA SANDS MEDICAL SPECIALITIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-14",
        "last_updated": "2009-10-01",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-408-0436",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron Lee Coker, C.P.O.
• Katie Jo Cole, MPT, DPT
• Victoria Beth Collier, CRM
• Brooke Caroline Collins, LCSW
• Tony Collins
• Sari Ann Colvin
• Stacey L Come, CDAC-R
• Community Pharmacy Redmond
• Compassion Physio LLC
• Amber Conant

• Infectious Disease Physician in Redmond, OR
• Providers in Redmond, OR by specialty
• Infectious Disease Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; 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.