Onepeak Southern Oregon PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ONEPEAK SOUTHERN OREGON PC

Practice address

3265 Hillcrest Park Dr
Medford, OR 97504-7657

Phone

(541) 890-5217

NPI assigned

Aug 2, 2022

Last updated

Aug 2, 2022By 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

Karissa Stults

Title

Director of Billing

Phone

(541) 890-5217

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 67

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.

• Loveleen K Ahluwalia, FNP-BC

  • Family Nurse Practitioner
  • Talent, OR
  • NPI 1083321764

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Jennifer E Blackmon

  • Family Nurse Practitioner
  • Grants Pass, OR
  • NPI 1417583642
  Medicare reassignment Care Compare group NPD
• Johanna Clemens

  • Family Nurse Practitioner
  • Grants Pass, OR
  • NPI 1063800886
  Medicare reassignment Care Compare group NPD
• Christa Elane Degrazia, NP

  • Women's Health Nurse Practitioner
  • Medford, OR
  • NPI 1013307685
  Medicare reassignment Care Compare group NPD
• Lindsey Gavioli Fox, FNP-BC, AGACNP-BC

  • Gerontology Nurse Practitioner
  • Medford, OR
  • NPI 1629588504

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Shannon Lee Galpin, FNP

  • Family Nurse Practitioner
  • Klamath Falls, OR
  • NPI 1083341903
  Medicare reassignment Care Compare group NPD
• Joshua Goodrum, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Ashland, OR
  • NPI 1538318233

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Amber S Gross, NP-PP

  • Family Nurse Practitioner
  • Newport, OR
  • NPI 1669701736
  Medicare reassignment Care Compare group NPD
• Francesca B Gunn, N.P.

  • Nurse Practitioner
  • Ashland, OR
  • NPI 1508191792
  Medicare reassignment Care Compare group NPD
• Sarah Am Kalina, FNP

  • Family Nurse Practitioner
  • Talent, OR
  • NPI 1194038968
  Medicare reassignment Care Compare group NPD
• Karsyn Danielle Kimbrough, PA

  • Physician Assistant
  • Grants Pass, OR
  • NPI 1578369948
  Medicare reassignment Care Compare group NPD
• Heather D Mata, FNP

  • Nurse Practitioner
  • Medford, OR
  • NPI 1932772399
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1740917558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3265 HILLCREST PARK DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047657",
            "telephone_number": "541-890-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3265 HILLCREST PARK DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047657",
            "telephone_number": "541-890-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONEPEAK SOUTHERN OREGON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "STULTS",
        "authorized_official_first_name": "KARISSA",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "541-890-5217"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevan Joyce Olson, NP PSYCHIATRIC
• Erin Frances Oltman
• Omscor LLC
• Oncology of Southern Oregon LLC
• One of a Kind Therapy LLC
• Jack Opgenorth, L.C.S.W.
• Options for Southern Oregon
• Options for Southern Oregon
• Options for Southern Oregon
• Optometric Care of Oregon (Eyecare Associates of Southern Oregon)

• Family Medicine Physician in Medford, OR
• Providers in Medford, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.