Ashland Family Practice LLC
Organization Active NPI Family Medicine Physician · Ashland, OR
NPI 1740787456 · NPPES record last updated Jan 18, 2024
Key facts
- NPI
- 1740787456
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ASHLAND FAMILY PRACTICE LLC
- Practice address
- 935 Siskiyou Blvd
Ashland, OR 97520 - Phone
- (541) 482-2716
- Fax
- (541) 488-5461
- NPI assigned
- Apr 9, 2018
- Organization subpart
- No
Authorized official
- Name
- Cynthia A Parks
- Title
- Provider
- Phone
- (541) 482-2716
Practitioners 5
-
Anne Taylor, NP
-
Janel N Guyette, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180702001336 | OR | Part B Supplier - Clinic/Group Practice | 6305192543 |
Receives reassigned benefits from 4 practitioners Practice locations: Ashland, OR |
National Provider Directory
Locations
935 Siskiyou Blvd
Ashland, OR 97520
Phone (541) 482-2716
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
935 Siskiyou Blvd
Ashland, OR 97520
Mailing address
935 Siskiyou Blvd
Ashland, OR 97520-2143
Other providers in Ashland, OR
- Ashland Emergency Associates, P.C.
- Ashland Eye Care PC
- Ashland Family Dentistry, LLC
- Ashland Family Health Care PC
- Ashland Family Practice
- Ashland Gastroenterology, LLC
- Ashland Holistic Counseling
- Ashland Institute of Massage Inc
- Ashland Integrative Care PC
- Ashland Myofascial Release, LLC
All providers in Ashland, OR · Family Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.