Harold Derek Palmer, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD19294 Issued in OR

Practice address

1245 NW 4TH St
Ste 201
Redmond, OR 97756-1680

Phone

(541) 323-4545

Fax

(541) 323-4546

NPI assigned

Jun 21, 2005

Last updated

Nov 28, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

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

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1841296209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 NW 4TH ST",
            "address_2": "STE 201",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561680",
            "telephone_number": "541-323-4545",
            "fax_number": "541-323-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 NW 4TH ST",
            "address_2": "STE 201",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561680",
            "telephone_number": "541-323-4545",
            "fax_number": "541-323-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "HAROLD",
        "middle_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD19294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72376",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsi Jo Oyler
• Roza Saitlin Pacifico, NP
• Tracy L Page
• Leticia Palacios Harness, LSW
• Shana Marie Palmer Whalen, CHW
• Nate Palmer, DPT
• Amber Paplia, CRM
• Maria Pardo
• Nicole E Parello
• Courtney Paresa, DPT

• Internal Medicine Physician in Redmond, OR
• Providers in Redmond, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.