Onepeak Southern Oregon PC
Organization Active NPI Family Medicine Physician · Medford, OR
NPI 1740917558 · NPPES record last updated Aug 2, 2022
Key facts
- NPI
- 1740917558
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 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
- Organization subpart
- No
Authorized official
- Name
- Karissa Stults
- Title
- Director of Billing
- Phone
- (541) 890-5217
Practitioners 70
-
Loveleen K Ahluwalia, FNP-BC
-
Lindsey Gavioli Fox, FNP-BC, AGACNP-BC
-
Shannon Lee Galpin, FNP
-
Joshua Goodrum, DO
-
Amber S Gross, NP-PP
-
Francesca B Gunn, N.P.
-
Sarah Am Kalina, FNP
-
Heather D Mata, FNP
-
Georgette L Nadeau, APRN
-
Chastity Gwen Drobena, FNP-C
-
Aida Faline Johnson, A.P.R.N, B.C.
-
Candice M. Kalipersad, APRN
-
Monica Anne Weires, FNP-BC
-
Jennifer Lauren Cramer, PA-C
-
Lydia Picotte, PA-C
-
Jamie Brooke Peterson, PA-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D2195297 | Onepeak Southern Oregon Hillcrest | Certificate of waiver | Oct 6, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220906001662 | OR | Part B Supplier - Clinic/Group Practice | 5395129670 |
Receives reassigned benefits from 49 practitioners Practice locations: Grants Pass, OR; White City, OR; Medford, OR; Central Point, OR; Ashland, OR |
National Provider Directory
Locations
2205 Ashland St
Ste 102
Ashland, OR 97520
Phone (541) 526-9016
25 N 4th St
Central Point, OR 97502
Phone (541) 748-9650
1755 Coburg Rd
Unit 601
Eugene, OR 97401
Phone (541) 246-6606
1325 NE 7th St
Grants Pass, OR 97526
Phone (541) 460-5331
822 NE E St
Ste C
Grants Pass, OR 97526
Phone (541) 237-7420
2655 Siskiyou Blvd
Medford, OR 97504
Phone (541) 304-8008
8336 Highway 62
Ste 101
White City, OR 97503
Phone (541) 538-5111
8336 Highway 62
#101
White City, OR 97503
Phone (541) 200-2900
8404 27th St W
University Place, WA 98466
Phone (253) 226-5228
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
3265 Hillcrest Park Dr
Medford, OR 97504-7657
Mailing address
3265 Hillcrest Park Dr
Medford, OR 97504-7657
Phone (541) 890-5217
Other providers in Medford, OR
- Kevan Joyce Olson
- Erin Frances Oltman
- Omscor LLC
- Oncology of Southern Oregon LLC
- One of a Kind Therapy LLC
- Ontrack, Inc.
- Jack Opgenorth
- Options for Southern Oregon
- Options for Southern Oregon
- Options for Southern Oregon
All providers in Medford, 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 Aug 2, 2022. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.