NPIMap

Organization Active NPI

St Anthony Hospital

  • Internal Medicine Physician
  • Pendleton, OR
National Provider Identifier
1689954836
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ST ANTHONY HOSPITAL
Practice address
1600 SE Court PL
Ste 114
Pendleton, OR 97801-3281
Phone
(541) 966-0571
Fax
(541) 966-0574
NPI assigned
Aug 19, 2011
Last updated
Aug 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Authorized official

Name
Jim Schlenkar
Title
Chief Financial Officer
Phone
(541) 278-3220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1600 SE Court PL
Ste 114
Pendleton, OR 97801-3281

Mailing address

1600 SE Court PL
Ste 114
Pendleton, OR 97801-3281
Phone (541) 966-0571

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040414001635 OR Part B Supplier - Clinic/Group Practice 3678568268 Receives reassigned benefits from 40 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pendleton, OR

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1689954836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SE COURT PL",
            "address_2": "STE 114",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013281",
            "telephone_number": "541-966-0571",
            "fax_number": "541-966-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SE COURT PL",
            "address_2": "STE 114",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013281",
            "telephone_number": "541-966-0571",
            "fax_number": "541-966-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ANTHONY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "SCHLENKAR",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "541-278-3220"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pendleton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.