NPIMap

Organization Active NPI

St Anthony Hospital

Doing business as St Anthony Women's Clinic

  • Obstetrics & Gynecology Physician
  • Pendleton, OR
National Provider Identifier
1902037526
Registry record updated Jul 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
ST ANTHONY HOSPITAL
Doing business as
St Anthony Women's Clinic
Practice address
1601 SE Court Ave
3Rd Floor
Pendleton, OR 97801-3217
Phone
(541) 278-3220
NPI assigned
Jul 30, 2009
Last updated
Jul 30, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
ST ANTHONY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 30, 2009

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

Authorized official

Name
Jim Schlenker
Title
Cfo
Phone
(541) 278-3220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

1601 SE Court Ave
3Rd Floor
Pendleton, OR 97801-3217

Mailing address

1601 SE Court Ave
3Rd Floor
Pendleton, OR 97801-3217
Phone (541) 278-3220

Other names 1

  • St Anthony Women's Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040414001635 OR Part B Supplier - Clinic/Group Practice 3678568268 Receives reassigned benefits from 40 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pendleton, OR

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
St Anthonys Health Care

NPI Registry JSON

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1902037526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 SE COURT AVE",
            "address_2": "3RD FLOOR",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013217",
            "telephone_number": "541-278-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SE COURT AVE",
            "address_2": "3RD FLOOR",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013217",
            "telephone_number": "541-278-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ANTHONY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST ANTHONY HOSPITAL",
        "enumeration_date": "2009-07-30",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "SCHLENKER",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "541-278-3220"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Anthony Women's Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pendleton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.