Edward J Ottenheimer III, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

MD20394 Issued in OR

Practice address

1813 W Harvard Ave
Ste 436
Roseburg, OR 97471-8705

Phone

(541) 673-0496

Fax

(541) 673-5794

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Hematology/OncologyAlso: Internal Medicine

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Care Home health agency, Roseburg, OR, CCN 387311
• Amedisys Hospice Care Hospice, Roseburg, OR, CCN 381518
• Mercy Medical Center Hospital, Roseburg, OR, CCN 380027

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EHJBCD
• FHIR API: https://fhir4.healow.com/fhir/r4/EHJBCD/Endpoint/EHJBCD

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Amedisys Oregon, L.L.C.

  • Community Based Hospice Care Agency
  • Roseburg, OR
  • NPI 1083807101

  W-2 Managing Employee

  CMS ownership

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.

• Umpqua Medical PC

  • Hematology & Oncology Physician
  • Roseburg, OR
  • NPI 1003982281
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Oregon, L.L.C.

  • Community Based Hospice Care Agency
  • Roseburg, OR
  • NPI 1083807101
  Care Compare affiliation
• Amedisys Oregon, L.L.C.

  • Home Health Agency
  • Roseburg, OR
  • NPI 1093908725
  Care Compare affiliation
• Commonspirit Oregon

  • General Acute Care Hospital
  • Roseburg, OR
  • NPI 1477590198
  Care Compare affiliation

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578700800000",
    "number": "1881787547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 W HARVARD AVE",
            "address_2": "STE 436",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718705",
            "telephone_number": "541-673-0496",
            "fax_number": "541-673-5794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 W HARVARD AVE",
            "address_2": "STE 436",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718705",
            "telephone_number": "541-673-0496",
            "fax_number": "541-673-5794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTENHEIMER",
        "first_name": "EDWARD",
        "middle_name": "J",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-01-11",
        "certification_date": "2020-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OR",
            "license": "MD20394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085790",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paige Putman Osburn, RN
• Wendy Marie Osincup, CHW,CLC
• Jazmin Rain Osorio Maciel
• Timothy Ostrander, PA
• Ulrike Elizabeth Ottenbreit, CADCII,CGACT
• Margot Ouimette, PA
• David E. Owens, MD
• Markelle Owens
• Janice Owings, FNP
• Pacific Crest Chiropractic and Wellness Center PC

• Hematology & Oncology Physician in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Hematology & Oncology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.