Organization Active NPI

Oncology of Southern Oregon LLC

  • Hematology & Oncology Physician
  • Medford, OR
National Provider Identifier
1861459828
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
ONCOLOGY OF SOUTHERN OREGON LLC
Practice address
748 State St
Medford, OR 97504-8473
Phone
(541) 282-8888
Fax
(541) 282-8898
NPI assigned
Apr 26, 2006
Last updated
May 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Nancy A Noyce, MD
Title
Administrator
Phone
(541) 772-5282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X Primary

Addresses

Primary practice location

748 State St
Medford, OR 97504-8473

Mailing address

748 State St
Medford, OR 97504-8473
Phone (541) 282-8888

Other identifiers 2

IdentifierTypeStateIssuer
3988910001OtherORDEMERC
227273MedicaidOR

National Provider Directory

National Provider Directory

Locations

2859 State St
#300
Medford, OR 97504
Phone (541) 608-5961

748 State St
Medford, OR 97504
Phone (541) 772-5282

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1861459828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 STATE ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048473",
            "telephone_number": "541-282-8888",
            "fax_number": "541-282-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 STATE ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048473",
            "telephone_number": "541-282-8888",
            "fax_number": "541-282-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONCOLOGY OF SOUTHERN OREGON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "NOYCE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "541-772-5282",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEMERC",
            "identifier": "3988910001",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227273",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.