Organization Active NPI

Med Info Services, LLC

Doing business as Willamette Heart

  • Cardiovascular Disease Physician
  • Carlton, OR
National Provider Identifier
1811192792
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
18801 Issued in OR
Legal business name
MED INFO SERVICES, LLC
Doing business as
Willamette Heart
Practice address
348 S Pine St
Carlton, OR 97111-1228
Phone
(503) 472-0101
Fax
(503) 472-6363
NPI assigned
Jun 19, 2007
Last updated
Jan 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Authorized official

Name
Dr. Alan W Hurty II, MDNPI 1225020191
Title
President/Member
Phone
(503) 472-0101

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
Cardiovascular Disease Physician 207RC0000X 18801 OR Primary

Addresses

Primary practice location

348 S Pine St
Carlton, OR 97111-1228

Mailing address

348 S Pine St
Carlton, OR 97111-1228
Phone (503) 472-0101

Other names 1

  • Willamette Heart Doing business as

National Provider Directory

National Provider Directory

Locations

6062 SE Highway 101
Lincoln City, OR 97367
Phone (503) 472-0101

2700 SE Stratus Ave
Unit 303
McMinnville, OR 97128
Phone (503) 435-4520

Practitioners & affiliated clinicians

Practitioners 1

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": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1811192792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 S PINE ST",
            "city": "CARLTON",
            "state": "OR",
            "postal_code": "971111228",
            "telephone_number": "503-472-0101",
            "fax_number": "503-472-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 S PINE ST",
            "city": "CARLTON",
            "state": "OR",
            "postal_code": "971111228",
            "telephone_number": "503-472-0101",
            "fax_number": "503-472-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED INFO SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "HURTY",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT/MEMBER",
        "authorized_official_telephone_number": "503-472-0101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OR",
            "license": "18801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willamette Heart",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Willamette Heart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carlton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.