Loren Rodney Barrus, MD
Individual provider Active NPI Ophthalmology Physician · Medford, OR
NPI 1922089689 · NPPES record last updated Sep 18, 2020
Key facts
- NPI
- 1922089689
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 16171 (OR)
- Practice address
- 2925 Siskiyou Blvd
Medford, OR 97504-8179 - Phone
- (541) 779-2020
- Fax
- (541) 770-6838
- NPI assigned
- Nov 9, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100223000202 | OR | Practitioner - Ophthalmology | 0749340784 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16171 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cataract and Laser Institute of Southern Oregon PC | Ophthalmology | Current |
Accepting new patients |
Locations
1022 NW 6th St
Grants Pass, OR 97526
Phone (541) 476-4545
2925 Siskiyou Blvd
Medford, OR 97504
Phone (541) 773-1435
1408 E Barnett Rd
Medford, OR 97504
Phone (503) 779-2464
Interoperability endpoints
- lbarrus@medfordeyedoctors.updoxdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 16171 | OR | Yes |
Addresses
Primary practice location
2925 Siskiyou Blvd
Medford, OR 97504-8179
Mailing address
1408 E Barnett Rd
Medford, OR 97504-8279
Phone (541) 779-2020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 094334 | Medicaid | OR |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Lbarrus@medfordeyedoctors.updoxdirect.com | Health Information Exchange (HIE) |
Other providers in Medford, OR
- Melinda S Barnhardt
- Jasmine B Barnhart
- Mary E Barnum
- Shavonn Barrett
- Edward Bruce Barrows
- Barry & Erickson, LLC
- Angela Marie Barry
- Anne G Barry
- Heather Noelle Bartlett
- Molly Dare Bartlett
All providers in Medford, OR · Ophthalmology Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.