Willamette Valley Clinics LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WILLAMETTE VALLEY CLINICS LLC

Practice address

2700 SE Stratus Ave
Ste. 302
McMinnville, OR 97128-6255

Phone

(503) 474-2565

NPI assigned

Apr 17, 2006

Last updated

Sep 24, 2024By 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

Charlotte Lawrence

Title

Secretary

Phone

(615) 920-7000

Specialties & licenses 15

Addresses

Medicare fee-for-service enrollment

Enrolled in OR, TX, FL3 enrollments

Enrollment records 3

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Willamette Valley Clinics LLC

  dba McMinnville Internal Medicine

  • Rural Health Clinic/Center
  • McMinnville, OR
  • NPI 1942063730

  6103729314

  Same PAC ID

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Willamette Valley Clinics LLC

  • Family Medicine Physician
  • Sheridan, OR
  • NPI 1033173604

  O20040127000785

  Same enrollment
• Willamette Valley Clinics LLC

  dba McMinnville Internal Medicine

  • Rural Health Clinic/Center
  • McMinnville, OR
  • NPI 1942063730

  O20040127000785

  Same enrollment

Locations

Practitioners 124

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.

• Elizabeth Ackerman, MD

  • Orthopaedic Surgery Physician
  • McMinnville, OR
  • NPI 1851599849
  Medicare reassignment Care Compare group NPD
• Matthew J. Bliven, M.D.

  • Family Medicine Physician
  • McMinnville, OR
  • NPI 1942252168
  Medicare reassignment Care Compare group NPD
• Thomas D Gilberts, MD

  • Internal Medicine Physician
  • Beaverton, OR
  • NPI 1841214236
  Medicare reassignment Care Compare group NPD
• Tyler L Heidt, PA-C

  • Physician Assistant
  • McMinnville, OR
  • NPI 1912627910

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Alex Heyrman, M.D.

  • Internal Medicine Physician
  • McMinnville, OR
  • NPI 1316333438
  Medicare reassignment Care Compare group NPD
• Nazmul Hoque, MD

  • Gastroenterology Physician
  • Newport, OR
  • NPI 1740280429

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Jim A James, M.D.

  • Neurology Physician
  • McMinnville, OR
  • NPI 1588769772
  Medicare reassignment Care Compare group NPD
• Fahad Jamil, M.D.

  • Hospitalist Physician
  • Bend, OR
  • NPI 1881075513

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Katie Johnson, MD

  • Surgery Physician
  • McMinnville, OR
  • NPI 1962866293
  Medicare reassignment Care Compare group NPD
• Aasheeshraj Singh Kanwar, M.D.

  • Radiation Oncology Physician
  • McMinnville, OR
  • NPI 1861925778
  Medicare reassignment Care Compare group NPD
• George Khoury, MD

  • Hospitalist Physician
  • McMinnville, OR
  • NPI 1346292307
  Medicare reassignment Care Compare group NPD
• Richard K Kimani, M.D.

  • Internal Medicine Physician
  • McMinnville, OR
  • NPI 1417951849
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1790740520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "615-920-7000",
            "fax_number": "615-920-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 SE STRATUS AVE",
            "address_2": "STE. 302",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971286255",
            "telephone_number": "503-474-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAMETTE VALLEY CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Willamette Valley Clinics LLC (Willamette Valley Pediatrics & Adolescent Medicine)
• Willamette Valley Clinics LLC
• Willamette Valley Clinics LLC (McMinnville Internal Medicine)
• Willamette Valley Clinics, LLC
• Willamette Valley Foot & Ankle Center PC
• Willamette Valley Imaging and Diagnostics LLC
• Willamette Valley Medical Center LLC

• Family Medicine Physician in McMinnville, OR
• Providers in McMinnville, 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 Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.