Ian Seong Ho Buchanan

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD187491 Issued in OR

Practice address

500 SW Ramsey Ave
Grants Pass, OR 97527

Phone

(541) 472-7000

NPI assigned

Apr 29, 2015

Last updated

Mar 15, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Asante Three Rivers Medical Center, LLC

  • General Acute Care Hospital
  • Grants Pass, OR
  • NPI 1801891809
  Medicare reassignment NPD
• Wallowa County Health Care District

  dba Wallowa Memorial Hospital

  • Critical Access Hospital Clinic/Center
  • Enterprise, OR
  • NPI 1447256250
  Medicare reassignment NPD
• Wallowa County Health Care District

  dba Wallowa Memorial Hospital

  • Critical Access Hospital
  • Enterprise, OR
  • NPI 1558366229
  Medicare reassignment NPD
• Grande Ronde Hospital, Inc.

  • Critical Access Hospital
  • La Grande, OR
  • NPI 1467446195
  Medicare reassignment
• Wallowa County Health Care District

  dba Wallowa Memorial Medical Clinic - Downtown

  • Rural Health Clinic/Center
  • Enterprise, OR
  • NPI 1295338333
  NPD
• Wallowa County Health Care District

  dba Wallowa Memorial Hospital-Swingbed

  • Medicare Defined Swing Bed Hospital Unit
  • Enterprise, OR
  • NPI 1164428066
  NPD (past)

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1821475757",
    "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": "541-472-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SW RAMSEY AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "97527",
            "telephone_number": "541-472-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 N 1900 E",
            "address_2": "1C026",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841320002",
            "country_code": "US",
            "telephone_number": "801-581-2272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3325 Pocahontas Rd",
            "address_purpose": "LOCATION",
            "city": "Baker City",
            "state": "OR",
            "postal_code": "978141464",
            "country_code": "US",
            "telephone_number": "541-523-1797",
            "fax_number": "541-523-1799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "IAN",
        "middle_name": "SEONG HO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-29",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD187491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Bruce
• Matthew James Brumbaugh
• Karie Brunette, ABS, QMHA-I
• Kimberly Dawn Bryan
• Marcus Alan Bryner, MD
• Emma Elizabeth Buckley
• Halie Budden
• Rochelle Claire Bullock, LCSW
• Brock Anthony Bumgarner, QMHP
• Jordan Alexandria Bunting

• Emergency Medicine Physician in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Emergency Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.

Verify at the official NPI Registry.