Pacific Medical, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PACIFIC MEDICAL, INC.

Doing business as

Pacific Medical Prosthetics & Orthotics

Practice address

1344 Liberty St SE
Salem, OR 97302-4283

Phone

(800) 726-9180

Fax

(800) 861-5950

NPI assigned

Mar 19, 2014

Organization subpart

No

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

Authorized official

Name

Mark Weaver, JD

Title

General Counsel

Phone

(800) 726-9180

Specialties & licenses 2

Addresses

Other names 1

• Pacific Medical Prosthetics & Orthotics Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• West Coast Prosthetics LLC

  • Prosthetic/Orthotic Supplier
  • Sacramento, CA
  • NPI 1255387981

  Member Of

  NPD member

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1912324633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE 1616",
            "address_2": "1801 W OLYMPIC BLD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911991166",
            "telephone_number": "800-726-9180",
            "fax_number": "800-861-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024283",
            "telephone_number": "800-726-9180",
            "fax_number": "800-861-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "800-726-9180",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Medical Prosthetics & Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pacific Coast Clinic Salem LLC
• Pacific Eye Group, PC.
• Pacific Family Medical Center LLC
• Pacific Family Medical Center LLC
• Pacific Family Medical Center LLC
• Pacific Northwest Counseling & Consultation LLC
• Pacific Northwest Living LLC
• Pacific Northwest Medical Transport Service, Inc
• Pacific Northwest Sleep Centers, LLC
• Pacific Obstetrics & Gynecology, L.L.C.

• Prosthetic/Orthotic Supplier in Salem, OR
• Providers in Salem, OR by specialty
• Prosthetic/Orthotic Supplier in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.