NPIMap

Organization Active NPI

South Coast Radiologists

Doing business as South Coast Radiology

  • Physiological Laboratory
  • Coos Bay, OR
National Provider Identifier
1891876546
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
SOUTH COAST RADIOLOGISTS
Doing business as
South Coast Radiology
Practice address
2650 N 17TH St
Coos Bay, OR 97420-2134
Phone
(541) 267-5411
Fax
(541) 267-4898
NPI assigned
Oct 18, 2006
Last updated
Jul 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Authorized official

Name
Ross Siebert
Title
Coo
Phone
(858) 455-7127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X NU Primary

Addresses

Primary practice location

2650 N 17TH St
Coos Bay, OR 97420-2134

Mailing address

2650 N 17TH St
Coos Bay, OR 97420-2134
Phone (541) 267-5411

Other names 1

  • SOUTH COAST RADIOLOGY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1891876546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 N 17TH ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202134",
            "telephone_number": "541-267-5411",
            "fax_number": "541-267-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 N 17TH ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202134",
            "telephone_number": "541-267-5411",
            "fax_number": "541-267-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COAST RADIOLOGISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "SIEBERT",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "858-455-7127"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH COAST RADIOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coos Bay, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.