Edward H Schultheiss, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD13676 Issued in OR

Practice address

6811 Lemongrass Loop SE
Salem, OR 97306-1489

Phone

(503) 559-7763

NPI assigned

Jan 3, 2006

Last updated

Dec 29, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Salem Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Salem, OR
  • NPI 1730121401
  NPD (past)
• North Clark Medical Group LLC

  • General Practice Physician
  • Jeffersonville, IN
  • NPI 1376095711
  NPD (past)

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1730167586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 LEMONGRASS LOOP SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973061489",
            "telephone_number": "503-559-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6811 LEMONGRASS LOOP SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973061489",
            "telephone_number": "503-559-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTHEISS",
        "first_name": "EDWARD",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OR",
            "license": "MD13676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092254",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charity Schroder, CADC-I
• Tonnie Lynn Schroeder, LMT
• Douglas John Schubert, DC
• Mary Christine Schuck
• Heather Renee Schudel, EPDH
• Bethany Schultz
• Schulz Chiropractic LLC (Cherry City Chiropractic)
• Amy Deanne Schulz, D.C.
• Ryan C Schulz, D.C.
• Paul M Schumacher, M.D.

• Gastroenterology Physician in Salem, OR
• Providers in Salem, OR by specialty
• Gastroenterology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.