Active NPI
Jennifer W Dorosh, MD
- Emergency Medicine Physician
- Ashland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD201607
- Practice address
- 280 Maple Street
Ashland, OR 97520-1552 - Phone
- (541) 201-4000
- NPI assigned
- May 21, 2009
- Last updated
- Jan 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301 094 181 | MI | |
| Emergency Medicine Physician | 207P00000X | MD201607 | OR | Primary |
| Emergency Medicine Physician | 207P00000X | ME142519 | FL | |
| Emergency Medicine Physician | 207P00000X | 56902 | WI |
Addresses
Primary practice location
280 Maple Street
Ashland, OR 97520-1552
Mailing address
PO Box 4749
Medford, OR 97501-0227
Phone (541) 789-4111
Other practice location 1
1500 Lee Blvd
Lehigh Acres, FL 33936-4835
Phone (239) 369-2101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301 094 181 | MI | MD | Emergency Medicine Physician |
| 56902 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Small Hospital Innovations LLC | Emergency Medicine | Current | Accepting new patients |
| Asante | Current | Accepting new patients | |
| Asante Ashland Community Hospital, LLC | Current | Accepting new patients | |
| Asante | Current | Accepting new patients | |
| Asante Three Rivers Medical Center, LLC | Current | Accepting new patients |
Locations
900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426
524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984
1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410
280 Maple St
Ashland, OR 97520
Phone (541) 201-4000
2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Asante Rogue Regional Medical Center
- General Acute Care Hospital
- Medford, OR
- NPI 1770587107
-
- General Acute Care Hospital
- Grants Pass, OR
- NPI 1801891809
-
- Emergency Medicine Physician
- Clewiston, FL
- NPI 1184040560
-
- General Acute Care Hospital
- Ashland, OR
- NPI 1730628827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610582400000",
"number": "1790910628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4749",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975010227",
"telephone_number": "541-789-4111",
"fax_number": "541-789-5518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 MAPLE STREET",
"city": "ASHLAND",
"state": "OR",
"postal_code": "975201552",
"telephone_number": "541-201-4000"
}
],
"practiceLocations": [
{
"address_1": "1500 Lee Blvd",
"address_purpose": "LOCATION",
"city": "Lehigh Acres",
"state": "FL",
"postal_code": "339364835",
"country_code": "US",
"telephone_number": "239-369-2101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOROSH",
"first_name": "JENNIFER",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-21",
"last_updated": "2021-01-14",
"certification_date": "2021-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301 094 181",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OR",
"license": "MD201607",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME142519",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "56902",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.