Organization Active NPI

Albany Anesthesia PC

  • Pain Medicine (Anesthesiology) Physician
  • Albany, OR
National Provider Identifier
1710046461
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
ALBANY ANESTHESIA PC
Practice address
930 SW 9TH Avenue
Albany, OR 97321-0708
Phone
(541) 926-9611
Fax
(541) 926-6152
NPI assigned
Dec 8, 2006
Last updated
Nov 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Authorized official

Name
Jaimy Theron Patton, M.D.
Title
President
Phone
(541) 926-9611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU Primary

Addresses

Primary practice location

930 SW 9TH Avenue
Albany, OR 97321-0708

Mailing address

PO Box 3218
930 SW 9TH Avenue
Albany, OR 97321-0708
Phone (541) 926-9611

Other identifiers 2

IdentifierTypeStateIssuer
002063MedicaidOR
1710046461MedicaidOR

National Provider Directory

National Provider Directory

Locations

633 Waverly Dr SE
Albany, OR 97322
Phone (541) 286-2309

930 9th Ave SW
Albany, OR 97321
Phone (541) 926-9611

3509 NW Samaritan Dr
Ste 201
Corvallis, OR 97330
Phone (541) 768-4260

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1710046461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3218",
            "address_2": "930 SW 9TH AVENUE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973210708",
            "telephone_number": "541-926-9611",
            "fax_number": "541-926-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 SW 9TH AVENUE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973210708",
            "telephone_number": "541-926-9611",
            "fax_number": "541-926-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY ANESTHESIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "JAIMY",
        "authorized_official_middle_name": "THERON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-926-9611",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002063",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710046461",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.