Active NPI
Ronald G Worland, MD
- Surgery Physician
- Medford, OR
National Provider Identifier
1861677460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD10533
- Practice address
- 2959 Siskiyou Blvd
Ste a
Medford, OR 97504-8131 - Phone
- (541) 854-7596
- Fax
- (541) 972-8682
- NPI assigned
- Jan 2, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD10533 | OR | Primary |
Addresses
Primary practice location
2959 Siskiyou Blvd
Ste a
Medford, OR 97504-8131
Mailing address
700 Crater Lake Ave
Apt 104
Medford, OR 97504-6544
Phone (541) 854-7596
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019802 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10533 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473897600000",
"number": "1861677460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 CRATER LAKE AVE",
"address_2": "APT 104",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975046544",
"telephone_number": "541-854-7596",
"fax_number": "541-972-8682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2959 SISKIYOU BLVD",
"address_2": "STE A",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048131",
"telephone_number": "541-854-7596",
"fax_number": "541-972-8682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORLAND",
"first_name": "RONALD",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-02",
"last_updated": "2016-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OR",
"license": "MD10533",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019802",
"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 Sep 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.