Active NPI
Physicians Medical Center, P C
- General Practice Physician
- McMinnville, OR
National Provider Identifier
1699110320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- PHYSICIANS MEDICAL CENTER, P C
- Practice address
- 2435 NE Cumulus Ave
Suite a
McMinnville, OR 97128-8862 - Phone
- (503) 472-6161
- Fax
- (503) 434-6290
- NPI assigned
- May 8, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dennis D. Gray
- Title
- Administrator
- Phone
- (503) 472-6161
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
2435 NE Cumulus Ave
Suite a
McMinnville, OR 97128-8862
Mailing address
2435 NE Cumulus Ave
Suite a
McMinnville, OR 97128-8862
Phone (503) 472-6161
Other names 1
- Physicians Medical Center
National Provider Directory
National Provider Directory- Tax ID family
- Physicians Medical Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Diabetes Educator Registered Nurse
- McMinnville, OR
- NPI 1376995175
Locations
2435 NE Cumulus Ave
Ste A
McMinnville, OR 97128
Phone (503) 472-6161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662940800000",
"number": "1699110320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2435 NE CUMULUS AVE",
"address_2": "SUITE A",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971288862",
"telephone_number": "503-472-6161",
"fax_number": "503-434-6290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2435 NE CUMULUS AVE",
"address_2": "SUITE A",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971288862",
"telephone_number": "503-472-6161",
"fax_number": "503-434-6290"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIANS MEDICAL CENTER, P C",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-08",
"last_updated": "2022-09-12",
"certification_date": "2022-09-12",
"status": "A",
"authorized_official_last_name": "GRAY",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "503-472-6161"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Physicians Medical Center",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Physicians Medical Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in McMinnville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.