Jeffrey C Pitts

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

13467 Issued in OR

Legal business name

JEFFREY C PITTS

Practice address

269 SW 19TH St
Ontario, OR 97914-1972

Phone

(541) 889-3106

Fax

(541) 889-3904

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey C Pitts, MD

Title

Owner Manager Sole Proprietor

Phone

(541) 889-3106

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Ontario Medical Associates Doing business as

Locations

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1871663195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 SW 19TH ST",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979141972",
            "telephone_number": "541-889-3106",
            "fax_number": "541-889-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 SW 19TH ST",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979141972",
            "telephone_number": "541-889-3106",
            "fax_number": "541-889-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY C PITTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "PITTS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER MANAGER SOLE PROPRIETOR",
        "authorized_official_telephone_number": "541-889-3106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "13467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026523",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "180001596",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "52290",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "840399000",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "000010008479",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAIF",
            "identifier": "2507",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8074625",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "0905376",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ontario Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• John D Foote
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• Ophthalmology Physician in Ontario, OR
• Providers in Ontario, OR by specialty
• Ophthalmology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.