Organization Active NPI

Allcare Medical Group LLC

  • Family Medicine Physician
  • Grants Pass, OR
National Provider Identifier
1699360412
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20210720002502 OR Part B Supplier - Clinic/Group Practice 6507269115 Receives reassigned benefits from 27 practitioners
Practice locations: Cave Junction, OR; Glendale, OR; Grants Pass, OR; Shady Cove, OR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2163061Allcare Medical Group, LLC341 Cottage Park, Ste 1, Cave Junction, OR 97523Certificate of waiverMar 5, 2027
38D2220907Allcare Medical Group, LLC101 1St Street, Glendale, OR 97442Certificate of waiverApr 14, 2027

National Provider Directory

National Provider Directory

Locations

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

  • Direct secure messaging: alyssacordel@acmgllc.allscriptsdirect.net
  • Direct secure messaging: angelamount@acmgllc.allscriptsdirect.net
  • Direct secure messaging: barryhamann@acmgllc.allscriptsdirect.net
  • Direct secure messaging: bobbyanthony@acmgllc.allscriptsdirect.net
  • Direct secure messaging: brettrasmussen@acmgllc.allscriptsdirect.net
  • Direct secure messaging: brookelogue@acmgllc.allscriptsdirect.net
  • Direct secure messaging: christinerotin@acmgllc.allscriptsdirect.net
  • Direct secure messaging: davidabdunnur@acmgllc.allscriptsdirect.net
  • Direct secure messaging: heatherkahn@acmgllc.allscriptsdirect.net
  • Direct secure messaging: ivyhsieh@acmgllc.allscriptsdirect.net
  • Direct secure messaging: jasonpilcher@acmgllc.allscriptsdirect.net
  • Direct secure messaging: jennifercothron@acmgllc.allscriptsdirect.net
  • Direct secure messaging: jonermshar@acmgllc.allscriptsdirect.net
  • Direct secure messaging: kalabcarlile@acmgllc.allscriptsdirect.net
  • Direct secure messaging: kelseyfyfe@acmgllc.allscriptsdirect.net
  • Direct secure messaging: lacyscottwyant@acmgllc.allscriptsdirect.net
  • Direct secure messaging: lauramarburger@acmgllc.allscriptsdirect.net
  • Direct secure messaging: laurieotte@acmgllc.allscriptsdirect.net
  • Direct secure messaging: markrondeau@acmgllc.allscriptsdirect.net
  • Direct secure messaging: 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.

View all 33

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.

Verify at the official NPI Registry.