Individual provider Active NPI

Jacob Dominick Flury, D.O.

  • Anesthesiology Physician
  • Medford, OR
National Provider Identifier
1831518877
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
DO201242 Issued in OR
Practice address
1093 Royal CT
Medford, OR 97504-6130
Phone
(541) 773-7273
Fax
(541) 773-2027
NPI assigned
Apr 7, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X DO201242 OR Primary

Addresses

Primary practice location

1093 Royal CT
Medford, OR 97504-6130

Mailing address

PO Box 1705
Medford, OR 97501-0132
Phone (541) 773-7273

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20201023002802 OR Practitioner - Anesthesiology 4183953250 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Nova Southeastern College of Osteo Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Medford PCGroup PAC ID 5597750323, 47 clinicians

Practice addresses (Care Compare)

1093 Royal CT
Medford, OR 97504-6130
Phone (541) 773-7273

Hospital & facility affiliations

  • Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018
  • Providence Medford Medical Center Hospital, Medford, OR, CCN 380075
  • Asante Three Rivers Medical Center Hospital, Grants Pass, OR, CCN 380002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Pain Management & Palliative Care PA CurrentSince Sep 15, 2019 Accepting new patients
Anesthesia Associates of Medford PC Anesthesiology CurrentSince Nov 1, 2020 Accepting new patients
Asante CurrentSince Nov 1, 2020 Accepting new patients
Asante CurrentSince Nov 1, 2020 Accepting new patients
Active Health Chiropractic, PC PastSince Oct 25, 2020 Accepting new patients

Locations

3 Walden Ridge Dr
Ste 100
Asheville, NC 28803
Phone (828) 350-9310

2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770

1093 Royal Ct
Medford, OR 97504
Phone (541) 622-8500

Interoperability endpoints

  • Direct secure messaging: jacobflury@blueridgepainmanagement.ssdirect.aprima.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1831518877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1705",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975010132",
            "telephone_number": "541-773-7273",
            "fax_number": "541-773-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1093 ROYAL CT",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046130",
            "telephone_number": "541-773-7273",
            "fax_number": "541-773-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLURY",
        "first_name": "JACOB",
        "middle_name": "DOMINICK",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-07",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OR",
            "license": "DO201242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.