Individual provider Active NPI

Raymond E Westermeyer, MD

  • Internal Medicine Physician
  • Lebanon, OR
National Provider Identifier
1861447641
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD11419 Issued in OR
Practice address
55 Twin Oaks Ave
Suite #a-1
Lebanon, OR 97355-2864
Phone
(541) 451-6920
Fax
(541) 451-6924
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD11419 OR Primary

Addresses

Primary practice location

55 Twin Oaks Ave
Suite #a-1
Lebanon, OR 97355-2864

Mailing address

55 Twin Oaks Ave
Suite #a-1
Lebanon, OR 97355-2864
Phone (541) 451-6920

Other identifiers 1

IdentifierTypeStateIssuer
044438MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Ocean Medical PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1861447641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 TWIN OAKS AVE",
            "address_2": "SUITE #A-1",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973552864",
            "telephone_number": "541-451-6920",
            "fax_number": "541-451-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 TWIN OAKS AVE",
            "address_2": "SUITE #A-1",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973552864",
            "telephone_number": "541-451-6920",
            "fax_number": "541-451-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTERMEYER",
        "first_name": "RAYMOND",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD11419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044438",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, OR

Sources for this page

Verify at the official NPI Registry.