Active NPI
Allcare Medical Group LLC
- Family Medicine Physician
- Grants Pass, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ALLCARE MEDICAL GROUP LLC
- Practice address
- 124 NW Midland Ave
Grants Pass, OR 97526-1269 - Phone
- (541) 476-8859
- NPI assigned
- Mar 3, 2021
- Last updated
- Aug 23, 2022
- 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
- Donna Duval
- Title
- Sr. Director
- Phone
- (541) 471-4106
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
124 NW Midland Ave
Grants Pass, OR 97526-1269
Mailing address
1701 NE 7TH St
Grants Pass, OR 97526-1319
Phone (541) 471-4106
Other practice location 1
101 1st St
Glendale, OR 97442-9640
Phone (541) 832-5400
Other practice location 2
341 E Cottage Park Dr Ste 1
Cave Junction, OR 97523-1238
Phone (541) 450-3625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D2163061 | Allcare Medical Group, LLC | Certificate of waiver | Mar 5, 2027 |
| 38D2220907 | Allcare Medical Group, LLC | Certificate of waiver | Apr 14, 2027 |
National Provider Directory
National Provider DirectoryLocations
124 NW Midland Ave
Ste J
Grants Pass, OR 97526
Phone (541) 476-8859
1587 NW Washington Blvd
Grants Pass, OR 97526
Phone (541) 471-4106
741 NE 6th St
Grants Pass, OR 97526
Phone (541) 471-2701
21990 Highway 62
Shady Cove, OR 97539
Phone (541) 878-2022
Interoperability endpoints
- alyssacordel@acmgllc.allscriptsdirect.net
- angelamount@acmgllc.allscriptsdirect.net
- barryhamann@acmgllc.allscriptsdirect.net
- bobbyanthony@acmgllc.allscriptsdirect.net
- brettrasmussen@acmgllc.allscriptsdirect.net
- brookelogue@acmgllc.allscriptsdirect.net
- christinerotin@acmgllc.allscriptsdirect.net
- davidabdunnur@acmgllc.allscriptsdirect.net
- heatherkahn@acmgllc.allscriptsdirect.net
- ivyhsieh@acmgllc.allscriptsdirect.net
- jasonpilcher@acmgllc.allscriptsdirect.net
- jennifercothron@acmgllc.allscriptsdirect.net
- jonermshar@acmgllc.allscriptsdirect.net
- kalabcarlile@acmgllc.allscriptsdirect.net
- kelseyfyfe@acmgllc.allscriptsdirect.net
- lacyscottwyant@acmgllc.allscriptsdirect.net
- lauramarburger@acmgllc.allscriptsdirect.net
- laurieotte@acmgllc.allscriptsdirect.net
- markrondeau@acmgllc.allscriptsdirect.net
- melissasnell@acmgllc.allscriptsdirect.net
Practitioners & affiliated clinicians
Practitioners 33
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.
-
- Family Medicine Physician
- Grants Pass, OR
- NPI 1396737847
-
- Nurse Practitioner
- Grants Pass, OR
- NPI 1124089271
-
- Adult Health Nurse Practitioner
- Grants Pass, OR
- NPI 1194357764
-
- Family Nurse Practitioner
- Cave Junction, OR
- NPI 1487395224
-
- Gerontology Nurse Practitioner
- Grants Pass, OR
- NPI 1336810241
-
- Women's Health Nurse Practitioner
- Grants Pass, OR
- NPI 1750986097
-
- Family Nurse Practitioner
- Grants Pass, OR
- NPI 1710605753
-
- Family Medicine Physician
- Grants Pass, OR
- NPI 1366438095
-
- Family Nurse Practitioner
- Shady Cove, OR
- NPI 1578547824
-
- Family Medicine Physician
- Grants Pass, OR
- NPI 1194725069
-
- Family Medicine Physician
- Grants Pass, OR
- NPI 1588242184
-
- Family Medicine Physician
- Grants Pass, OR
- NPI 1134124050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661212800000",
"number": "1699360412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 NE 7TH ST",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975261319",
"telephone_number": "541-471-4106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 NW MIDLAND AVE",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975261269",
"telephone_number": "541-476-8859"
}
],
"practiceLocations": [
{
"address_1": "101 1st St",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "OR",
"postal_code": "974429640",
"country_code": "US",
"telephone_number": "541-832-5400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "341 E Cottage Park Dr Ste 1",
"address_purpose": "LOCATION",
"city": "Cave Junction",
"state": "OR",
"postal_code": "975231238",
"country_code": "US",
"telephone_number": "541-450-3625",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ALLCARE MEDICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-03",
"last_updated": "2022-08-23",
"certification_date": "2022-08-23",
"status": "A",
"authorized_official_last_name": "DUVAL",
"authorized_official_first_name": "DONNA",
"authorized_official_title_or_position": "SR. DIRECTOR",
"authorized_official_telephone_number": "541-471-4106"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.