Active NPI
Gina Kathleen Anderson, D.O.
- Neurology Physician
- Corvallis, OR
National Provider Identifier
1932231495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- DO159457
- Practice address
- 650 SW 3Rd St
Corvallis, OR 97333-4437 - Phone
- (541) 207-3900
- NPI assigned
- Mar 11, 2007
- Last updated
- Dec 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 20A10486 | CA | |
| Neurology Physician | 2084N0400X | P1157 | TX | |
| Neurology Physician | 2084N0400X | DO159457 | OR | Primary |
Addresses
Primary practice location
650 SW 3Rd St
Corvallis, OR 97333-4437
Mailing address
3228 NW Crest Dr
Corvallis, OR 97330-1807
Phone (541) 760-9644
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A10486 | CA | MD | Neurology Physician |
| DO159457 | OR | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piercey Neurology LLC | Neurology | Past | Accepting new patients |
| St Joseph Physician Associates | Neurology | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Medical Specialty Clinic/Center
- Corvallis, OR
- NPI 1538565015
-
- Neurology Physician
- Corvallis, OR
- NPI 1164720942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355875200000",
"number": "1932231495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3228 NW CREST DR",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973301807",
"telephone_number": "541-760-9644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 SW 3RD ST",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973334437",
"telephone_number": "541-207-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "GINA",
"middle_name": "KATHLEEN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-11",
"last_updated": "2012-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "20A10486",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "P1157",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OR",
"license": "DO159457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.