Individual provider Active NPI

Janet R. Sjoblom, MD

  • Family Medicine Physician
  • Hood River, OR
National Provider Identifier
1871585422
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD21571 Issued in OR
Practice address
1151 May St
Suite 201
Hood River, OR 97031-1526
Phone
(541) 387-1300
Fax
(541) 386-6224
NPI assigned
Aug 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD21571 OR Primary

Addresses

Primary practice location

1151 May St
Suite 201
Hood River, OR 97031-1526

Mailing address

PO Box 3390
Portland, OR 97208-3390

Other identifiers 1

IdentifierTypeStateIssuer
130038MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsjoblom193566@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20101105000917 OR Practitioner - Family Practice 8729273537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as group
Quality
83.34
Promoting interoperability
100
Improvement activities
40
Cost
100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon Family Medicine Current Accepting new patients
Hood River Medical Group, PC Family Medicine Current Accepting new patients
Providence Health & Services Oregon CurrentSince Dec 25, 2011 Accepting new patients

Locations

1304 Montello Ave
Hood River, OR 97031
Phone (541) 386-3711

810 12th St
Hood River, OR 97031
Phone (541) 386-3911

1151 May St
Ste 201
Hood River, OR 97031
Phone (541) 387-1300

Interoperability endpoints

  • Direct secure messaging: jsjoblom193566@oc.providencedirect.org

Organizations & group practices 3

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1871585422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3390",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 MAY ST",
            "address_2": "SUITE 201",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311526",
            "telephone_number": "541-387-1300",
            "fax_number": "541-386-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SJOBLOM",
        "first_name": "JANET",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-19",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD21571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130038",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsjoblom193566@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1151 May St",
            "address_2": "SUITE 201",
            "city": "Hood River",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970311526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hood River, OR

Sources for this page

Verify at the official NPI Registry.