Michelle Yvonne Lopera-Ottenheimer, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA00810 Issued in OR

Practice address

2880 NW Stewart Pkwy Ste 200
Suite 203
Roseburg, OR 97471-1204

Phone

(541) 673-0496

Fax

(541) 673-5794

NPI assigned

Jul 15, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EHJBCD

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.

• Umpqua Medical PC

  • Hematology & Oncology Physician
  • Roseburg, OR
  • NPI 1003982281
  NPD (past)

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398124800000",
    "number": "1740444033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 NW STEWART PKWY STE 200",
            "address_2": "SUITE 203",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711204",
            "telephone_number": "541-673-0496",
            "fax_number": "541-673-5794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 NW STEWART PKWY STE 200",
            "address_2": "SUITE 203",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711204",
            "telephone_number": "541-673-0496",
            "fax_number": "541-673-5794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPERA-OTTENHEIMER",
        "first_name": "MICHELLE",
        "middle_name": "YVONNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2014-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA00810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Logan, QMHA
• Stacey Logsdon
• Ellyse Look, DMD
• Dustin Aron Looney, CRM
• Dallin Scott Loosli
• Isis Karensha Lopez
• Lora'S in-Home Care, LLC
• Rodolfo B. Lorenzo, M.D.
• Jennifer Diane Lowry
• Stephanie Lowry

• Medical Physician Assistant in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Medical Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.