Organization Active NPI

NW Medical Weight Management LLC

  • Medical Specialty Clinic/Center
  • Keizer, OR
National Provider Identifier
1831802776
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
NW MEDICAL WEIGHT MANAGEMENT LLC
Practice address
3675 River Rd N Ste 103
Keizer, OR 97303-5994
Phone
(503) 510-0630
NPI assigned
Jan 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Authorized official

Name
Amy Purkey, FNP
Title
Owner/Provider
Phone
(503) 510-0630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

3675 River Rd N Ste 103
Keizer, OR 97303-5994

Mailing address

535 Castle Glen LN N
Keizer, OR 97303-7497
Phone (503) 510-0630

Other names 1

  • NW Medical Weight Management LLC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1831802776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 CASTLE GLEN LN N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973037497",
            "telephone_number": "503-510-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 RIVER RD N STE 103",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973035994",
            "telephone_number": "503-510-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW MEDICAL WEIGHT MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "PURKEY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "503-510-0630",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NW Medical Weight Management LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Keizer, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.