Organization Active NPI

William Nisbet M.D.,P.C.

  • Plastic Surgery Physician
  • Salem, OR
National Provider Identifier
1902142094
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
10771 Issued in OR
Legal business name
WILLIAM NISBET M.D.,P.C.
Practice address
960 Liberty St SE Ste 100
Salem, OR 97302-4165
Phone
(503) 364-5033
Fax
(503) 364-4820
NPI assigned
Dec 18, 2012
Organization subpart
Yes
Parent organization
WILLIAM NISBET M.D.,P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Lori Albrich
Title
Office Manager
Phone
(503) 364-5033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 10771 OR Primary

Addresses

Primary practice location

960 Liberty St SE Ste 100
Salem, OR 97302-4165

Mailing address

960 Liberty St SE Ste 100
Salem, OR 97302-4165
Phone (503) 364-5033

National Provider Directory

National Provider Directory
Part of
William Nisbet MD PC

NPI Registry JSON

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1902142094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 LIBERTY ST SE STE 100",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024165",
            "telephone_number": "503-364-5033",
            "fax_number": "503-364-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 LIBERTY ST SE STE 100",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024165",
            "telephone_number": "503-364-5033",
            "fax_number": "503-364-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM NISBET M.D.,P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILLIAM NISBET  M.D.,P.C.",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "ALBRICH",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-364-5033"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "OR",
            "license": "10771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.