Individual provider Active NPI

Steven L Jorgensen, DO

  • Family Medicine Physician
  • Roseburg, OR
National Provider Identifier
1720445380
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO194569 Issued in OR
Practice address
1813 W Harvard Ave Ste 140
Roseburg, OR 97471-2743
Phone
(541) 677-6553
Fax
(541) 677-7023
NPI assigned
Jan 26, 2016
Last updated
Jun 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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 DO194569 OR Primary

Addresses

Primary practice location

1813 W Harvard Ave Ste 140
Roseburg, OR 97471-2743

Mailing address

1813 W Harvard Ave Ste 140
Roseburg, OR 97471-2743
Phone (541) 677-6553

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
I20190820002033 OR Practitioner - Family Practice 6305132192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nevada School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jorgensen Family Medicine PCGroup PAC ID 4981069192, 2 clinicians

Practice addresses (Care Compare)

1813 W Harvard Ave
Suite 140
Roseburg, OR 97471-2743
Phone (541) 677-6553

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO194569ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jorgensen Family Medicine PC Family Medicine CurrentSince Jan 26, 2023 Accepting new patients

Locations

1813 W Harvard Ave
Ste 140
Roseburg, OR 97471
Phone (541) 229-7275

Interoperability endpoints

  • Direct secure messaging: steven.jorgensen.1@28281.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1720445380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 W HARVARD AVE STE 140",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712743",
            "telephone_number": "541-677-6553",
            "fax_number": "541-677-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 W HARVARD AVE STE 140",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712743",
            "telephone_number": "541-677-6553",
            "fax_number": "541-677-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "STEVEN",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-26",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO194569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

Verify at the official NPI Registry.