Active NPI
Arden Jay Gage Jr., P.A.
- Physician Assistant
- Klamath Falls, OR
National Provider Identifier
1699987164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA01226
- Practice address
- 2074 S 6TH St
Klamath Falls, OR 97601-3372 - Phone
- (541) 851-8110
- Fax
- (541) 851-8114
- NPI assigned
- May 4, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA01226 | OR | Primary |
Addresses
Primary practice location
2074 S 6TH St
Klamath Falls, OR 97601-3372
Mailing address
61506 Tall Tree CT
Bend, OR 97702-3296
Phone (541) 848-9527
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael D Henderson D O LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Bend, OR
- NPI 1841477239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326758400000",
"number": "1699987164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61506 TALL TREE CT",
"city": "BEND",
"state": "OR",
"postal_code": "977023296",
"telephone_number": "541-848-9527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2074 S 6TH ST",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976013372",
"telephone_number": "541-851-8110",
"fax_number": "541-851-8114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGE",
"first_name": "ARDEN",
"middle_name": "JAY",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-04",
"last_updated": "2012-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA01226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Klamath Falls, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.