NPIMap

Organization Active NPI

Advanced Joint Replacement Center of Southern Oregon

  • Orthopaedic Surgery Physician
  • Medford, OR
National Provider Identifier
1770014284
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD23381 Issued in OR
Legal business name
ADVANCED JOINT REPLACEMENT CENTER OF SOUTHERN OREGON
Practice address
707 Murphy Rd
Medford, OR 97504-8425
Phone
(541) 622-8900
NPI assigned
Mar 26, 2017
Last updated
Jul 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Authorized official

Name
Dr. Yaser Abdel-Alim Metwally, M.D.NPI 1952399057
Title
Owner/Physician
Phone
(541) 941-5133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD23381 OR Primary

Addresses

Primary practice location

707 Murphy Rd
Medford, OR 97504-8425

Mailing address

707 Murphy Rd
Medford, OR 97504-8425
Phone (541) 622-8900

National Provider Directory

National Provider Directory

Locations

4495 Dale Ave
Ste 200
La Mesa, CA 91941

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1490486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1770014284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 MURPHY RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048425",
            "telephone_number": "541-622-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 MURPHY RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048425",
            "telephone_number": "541-622-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED JOINT REPLACEMENT CENTER OF SOUTHERN OREGON",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-26",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "METWALLY",
        "authorized_official_first_name": "YASER",
        "authorized_official_middle_name": "ABDEL-ALIM",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "541-941-5133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "MD23381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.