Active NPI
Allan John Hedges, M.D.
- Obstetrics & Gynecology Physician
- McMinnville, OR
National Provider Identifier
1881692630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD25530
- Practice address
- 235 SE Norton LN
Suite B
McMinnville, OR 97128-8479 - Phone
- (503) 434-6688
- Fax
- (503) 472-6531
- NPI assigned
- Jul 13, 2005
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD25530 | OR | Primary |
Addresses
Primary practice location
235 SE Norton LN
Suite B
McMinnville, OR 97128-8479
Mailing address
235 SE Norton LN
Suite B
McMinnville, OR 97128-8479
Phone (503) 434-6688
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 028437 | Medicaid | OR |
Other names 1
- Allan Hedges
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 |
|---|---|---|---|
| MD25530 | OR | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willamette Valley Clinics LLC | Obstetrics & Gynecology | 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.
-
- Family Medicine Physician
- McMinnville, OR
- NPI 1790740520
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203897600000",
"number": "1881692630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 SE NORTON LN",
"address_2": "SUITE B",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971288479",
"telephone_number": "503-434-6688",
"fax_number": "503-472-6531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 SE NORTON LN",
"address_2": "SUITE B",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971288479",
"telephone_number": "503-434-6688",
"fax_number": "503-472-6531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDGES",
"first_name": "ALLAN",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2008-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OR",
"license": "MD25530",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "028437",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALLAN",
"last_name": "HEDGES",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in McMinnville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.