Active NPI
Michael Preston Rulon, MD
- Obstetrics & Gynecology Physician
- Medford, OR
National Provider Identifier
1902901853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD14214
- Practice address
- 691 Murphy Rd
Suite 210
Medford, OR 97504-4346 - Phone
- (541) 779-3520
- Fax
- (541) 779-3702
- NPI assigned
- Sep 14, 2006
- 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 | MD14214 | OR | Primary |
Addresses
Primary practice location
691 Murphy Rd
Suite 210
Medford, OR 97504-4346
Mailing address
691 Murphy Rd
Suite 210
Medford, OR 97504-4346
Phone (541) 779-3520
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 272161 | Medicaid | OR | |
| MD14214 | Other | OR | STATE ID |
| 000000008488 | Other | OR | ASANTE/HEALTH FUTURE |
| 276148307118 | Other | OR | LIFEWISE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| P3 Medical Group PC | Past | Accepting new patients | |
| Michael Rulon, M.D., L.L.C. | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Medford, OR
- NPI 1538472337
-
- Family Medicine Physician
- Salem, OR
- NPI 1689266926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902901853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "691 MURPHY RD",
"address_2": "SUITE 210",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975044346",
"telephone_number": "541-779-3520",
"fax_number": "541-779-3702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "691 MURPHY RD",
"address_2": "SUITE 210",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975044346",
"telephone_number": "541-779-3520",
"fax_number": "541-779-3702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RULON",
"first_name": "MICHAEL",
"middle_name": "PRESTON",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OR",
"license": "MD14214",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "272161",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE ID",
"identifier": "MD14214",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASANTE/HEALTH FUTURE",
"identifier": "000000008488",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIFEWISE",
"identifier": "276148307118",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.