Active NPI
John C Stenberg, M.D.
- Emergency Medicine Physician
- Redmond, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 171488
- Practice address
- 1253 NW Canal Blvd
Redmond, OR 97756-1334 - Phone
- (541) 548-8131
- Fax
- (541) 460-4028
- NPI assigned
- Mar 27, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 60094-20 | WI | |
| Emergency Medicine Physician | 207P00000X | 171488 | OR | Primary |
Addresses
Primary practice location
1253 NW Canal Blvd
Redmond, OR 97756-1334
Mailing address
PO Box 6096
Bend, OR 97708-6096
Phone (541) 548-8131
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jstenberg18249@secure.stcharleshealthcare.org |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 171488 | OR | MD | Emergency Medicine Physician |
| 60094-20 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Emergency Medicine | Current | Accepting new patients |
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Emergency Medicine | Current | Accepting new patients |
| St. Charles Health System, Inc. | Emergency Medicine | Current | Accepting new patients |
| St. Charles Health System, Inc. | Current | Accepting new patients |
Locations
29358 Network Pl
Chicago, IL 60673
2500 NE Neff Rd
Bend, OR 97701
Phone (541) 388-4333
51781 Huntington Rd
La Pine, OR 97739
Phone (541) 666-7920
470 NE A St
Madras, OR 97741
Phone (541) 383-3668
384 SE Combs Flat Rd
Prineville, OR 97754
Phone (541) 383-3668
1253 NW Canal Blvd
Redmond, OR 97756
Phone (541) 548-8131
211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164
Interoperability endpoints
- jstenberg18249@secure.stcharleshealthcare.org
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Bend, OR
- NPI 1023331303
-
- Critical Access Hospital
- Madras, OR
- NPI 1356389894
Emergency Medicine
-
- Critical Access Hospital
- Prineville, OR
- NPI 1710160445
Emergency Medicine
-
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
Emergency Medicine
-
- Rehabilitation Hospital Unit
- Bend, OR
- NPI 1154343150
-
- Specialist
- Bend, OR
- NPI 1700697935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587081600000",
"number": "1710286992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6096",
"city": "BEND",
"state": "OR",
"postal_code": "977086096",
"telephone_number": "541-548-8131",
"fax_number": "541-460-4028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1253 NW CANAL BLVD",
"city": "REDMOND",
"state": "OR",
"postal_code": "977561334",
"telephone_number": "541-548-8131",
"fax_number": "541-460-4028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STENBERG",
"first_name": "JOHN",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-27",
"last_updated": "2020-04-17",
"certification_date": "2020-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "60094-20",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OR",
"license": "171488",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jstenberg18249@secure.stcharleshealthcare.org",
"affiliation": "N",
"address_1": "1253 NW Canal Blvd",
"city": "Redmond",
"state": "OR",
"country_code": "US",
"postal_code": "977561334",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Redmond, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.