Individual provider Active NPI

Kerri Ann Hecox, MD

  • Family Medicine Physician
  • Medford, OR
National Provider Identifier
1912960477
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD26021 Issued in OR
Practice address
1025 E Main St Ste 108
Medford, OR 97504-7448
Phone
(541) 618-1380
NPI assigned
Apr 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD26021 OR Primary

Addresses

Primary practice location

1025 E Main St Ste 108
Medford, OR 97504-7448

Mailing address

1025 E Main St Ste 108
Medford, OR 97504-7448
Phone (541) 200-1530

Other identifiers 2

IdentifierTypeStateIssuer
022868MedicaidOR
943096772OtherFEDERAL TAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050913001250 OR Practitioner - Family Practice 7214906379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Colorado School of Medicine, Denver, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oasis Center of the Rogue ValleyGroup PAC ID 4880934058, 6 clinicians

Practice addresses (Care Compare)

534 E Main St
Medford, OR 97504-7118
Phone (541) 200-1530

Hospital & facility affiliations

  • Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Center of the Rogue Valley CurrentSince Mar 13, 2019 Accepting new patients

Locations

534 E Main St
Medford, OR 97504
Phone (541) 200-1530

1025 E Main St
Ste 108
Medford, OR 97504
Phone (541) 200-1530

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1912960477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 E MAIN ST STE 108",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047448",
            "telephone_number": "541-200-1530",
            "fax_number": "541-772-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 E MAIN ST STE 108",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047448",
            "telephone_number": "541-618-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECOX",
        "first_name": "KERRI",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD26021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022868",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "943096772",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.