Individual provider Active NPI

Katherine Mechling, M.D.

  • Family Medicine Physician
  • Selma, OR
National Provider Identifier
1699767103
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD19485 Issued in OR
Practice address
18173 Redwood Hwy
Selma, OR 97538-9732
Phone
(541) 597-2464
Fax
(541) 597-4280
NPI assigned
Aug 19, 2005
Last updated
Jun 13, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD19485 OR Primary

Addresses

Primary practice location

18173 Redwood Hwy
Selma, OR 97538-9732

Mailing address

18173 Redwood Hwy
Selma, OR 97538-9732
Phone (541) 597-2464

Other identifiers 1

IdentifierTypeStateIssuer
077185MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040512001000 OR Practitioner - Family Practice 7214927318 Practice locations: Selma, OR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD19485ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Earth Song Medical Practice LLC Current Accepting new patients
Katherine Mechling PastSince Aug 1, 2000 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1699767103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18173 REDWOOD HWY",
            "city": "SELMA",
            "state": "OR",
            "postal_code": "975389732",
            "telephone_number": "541-597-2464",
            "fax_number": "541-597-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18173 REDWOOD HWY",
            "city": "SELMA",
            "state": "OR",
            "postal_code": "975389732",
            "telephone_number": "541-597-2464",
            "fax_number": "541-597-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECHLING",
        "first_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-19",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD19485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "077185",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, OR

Sources for this page

Verify at the official NPI Registry.