Active NPI
St Anthony Hospital
Doing business as St Anthony Children's Clinic
- Pediatrics Physician
- Pendleton, OR
National Provider Identifier
1740411800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- ST ANTHONY HOSPITAL
- Doing business as
- St Anthony Children's Clinic
- Practice address
- 1514 SE Court Ave
Pendleton, OR 97801-3216 - Phone
- (541) 276-5121
- Fax
- (541) 278-3227
- NPI assigned
- Aug 6, 2009
- Last updated
- Aug 6, 2009
- Organization subpart
- Yes
- Parent organization
- ST ANTHONY HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jim Schlenker
- Title
- Cfo
- Phone
- (541) 278-3220
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | NU | Primary |
Addresses
Primary practice location
1514 SE Court Ave
Pendleton, OR 97801-3216
Mailing address
1514 SE Court Ave
Pendleton, OR 97801-3216
Phone (541) 276-5121
Other names 1
- St Anthony Children's Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040414001635 | OR | Part B Supplier - Clinic/Group Practice | 3678568268 |
Receives reassigned benefits from 40 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Pendleton, OR |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba St Anthony Hospital Cardiology Services
- Cardiovascular Disease Physician
- Pendleton, OR
- NPI 1649528696
O20040414001635
-
dba St Anthony Hospital
- Orthopaedic Surgery Physician
- Pendleton, OR
- NPI 1134368798
O20040414001635
-
dba St. Anthony Hospital Profee
- Multi-Specialty Clinic/Center
- Pendleton, OR
- NPI 1831169903
O20040414001635
-
dba St Anthony Women's Clinic
- Obstetrics & Gynecology Physician
- Pendleton, OR
- NPI 1902037526
O20040414001635
National Provider Directory
National Provider Directory- Part of
- St Anthonys Health Care
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1249516800000",
"number": "1740411800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 SE COURT AVE",
"city": "PENDLETON",
"state": "OR",
"postal_code": "978013216",
"telephone_number": "541-276-5121",
"fax_number": "541-278-3227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1514 SE COURT AVE",
"city": "PENDLETON",
"state": "OR",
"postal_code": "978013216",
"telephone_number": "541-276-5121",
"fax_number": "541-278-3227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST ANTHONY HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ST ANTHONY HOSPITAL",
"enumeration_date": "2009-08-06",
"last_updated": "2009-08-06",
"status": "A",
"authorized_official_last_name": "SCHLENKER",
"authorized_official_first_name": "JIM",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "541-278-3220"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "St Anthony Children's Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Pendleton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.