Organization Active NPI

Linda Sewell MD., PC

Doing business as Excellence in Women's Healthcare

  • Obstetrics & Gynecology Physician
  • Roseburg, OR
National Provider Identifier
1912234048
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD26760 Issued in OR
Legal business name
LINDA SEWELL MD., PC
Doing business as
Excellence in Women's Healthcare
Practice address
2564 NW Edenbower Blvd
Suite 134
Roseburg, OR 97471-8854
Phone
(541) 492-2350
Fax
(541) 492-2346
NPI assigned
Nov 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Authorized official

Name
Elizabeth J Broeker
Title
Office Manager
Phone
(541) 492-2350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X MD26760 OR Primary

Addresses

Primary practice location

2564 NW Edenbower Blvd
Suite 134
Roseburg, OR 97471-8854

Mailing address

2564 NW Edenbower Blvd
Suite 134
Roseburg, OR 97471-8854
Phone (541) 492-2350

Other identifiers 1

IdentifierTypeStateIssuer
247326MedicaidOR

Other names 1

  • Excellence in Women's Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100302000108 OR Part B Supplier - Clinic/Group Practice 0143365213 Receives reassigned benefits from 1 practitioner
Practice locations: Roseburg, OR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D1088288Linda Sewell MD PC Dba2564 NW Edenbower Blvd Ste 134, Roseburg, OR 97471Provider-performed microscopyAug 20, 2026

National Provider Directory

National Provider Directory

Locations

2564 NW Edenbower Blvd
Ste 134
Roseburg, OR 97471
Phone (541) 492-2350

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1912234048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2564 NW EDENBOWER BLVD",
            "address_2": "SUITE 134",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718854",
            "telephone_number": "541-492-2350",
            "fax_number": "541-492-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2564 NW EDENBOWER BLVD",
            "address_2": "SUITE 134",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718854",
            "telephone_number": "541-492-2350",
            "fax_number": "541-492-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA SEWELL MD., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "BROEKER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-492-2350"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD26760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "247326",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excellence in Women's Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.