Yamhill Valley Surgical Center Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

07-1533 Issued in OR

Legal business name

YAMHILL VALLEY SURGICAL CENTER INC.

Practice address

2375 NE Cumulus Ave
McMinnville, OR 97128-8861

Phone

(503) 474-0650

Fax

(503) 474-0499

NPI assigned

Aug 18, 2006

Last updated

Aug 20, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Scott Gibson, MDNPI 1255433520

Title

President

Phone

(503) 474-0650

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Listed as

Yamhill Valley Surgical Center IncCCN 38C0001042

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 1

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.

• John Scott Gibson, MD

  • Internal Medicine Physician
  • McMinnville, OR
  • NPI 1255433520
  NPD Authorized official

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1740394741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1359",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971281359",
            "telephone_number": "503-474-0650",
            "fax_number": "503-474-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 NE CUMULUS AVE",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971288861",
            "telephone_number": "503-474-0650",
            "fax_number": "503-474-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAMHILL VALLEY SURGICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-474-0650",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OR",
            "license": "07-1533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268707",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yamhill County HHS Public Health-MCH
• Yamhill County HSS
• Yamhill County HSS
• Yamhill County Juvenile Department
• Yamhill Valley Community Doulas, Inc.
• Michael Lee Yanez
• Nina Yang, M.D.
• Rubi Alvina Yarez, QMHA
• Jessica Yoder
• Joshua Ray Yoder, PHARMD, RPH

• Ambulatory Surgical Clinic/Center in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Ambulatory Surgical Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.