Margot Ouimette, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

LL15893 Issued in OR

Practice address

1813 W Harvard Ave Ste 310
Roseburg, OR 97470-2756

Phone

(541) 672-7546

Fax

(541) 957-8446

NPI assigned

Feb 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1700858289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 W HARVARD AVE STE 310",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974702756",
            "telephone_number": "541-672-7546",
            "fax_number": "541-957-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 W HARVARD AVE STE 310",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974702756",
            "telephone_number": "541-672-7546",
            "fax_number": "541-957-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUIMETTE",
        "first_name": "MARGOT",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "LL15893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON PA LICENSE",
            "identifier": "LL15893",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Marie Osincup, CHW,CLC
• Jazmin Rain Osorio Maciel
• Timothy Ostrander, PA
• Ulrike Elizabeth Ottenbreit, CADCII,CGACT
• Edward J Ottenheimer III, MD
• David E. Owens, MD
• Markelle Owens
• Janice Owings, FNP
• Pacific Crest Chiropractic and Wellness Center PC
• Pacific Healthcare Services, P.C.

• Physician Assistant in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.