St Alphonsus Professional Medical Services LLC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

ST ALPHONSUS PROFESSIONAL MEDICAL SERVICES LLC

Practice address

351 SW Ninth Street
Ontario, OR 97914-2639

Phone

(541) 881-5331

NPI assigned

Nov 28, 2021

Last updated

Jun 16, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eric C. Rysenga, M.D.NPI 1659319549

Title

Pathologist

Phone

(541) 881-7287

Specialties & licenses 1

Addresses

Electronic endpoints 1

Tax ID family

Cobius Healthcare Solutions2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• St Alphonsus Professional Medical Services LLC

  dba SAMG Anesthesia

  • Anesthesiology Physician
  • Boise, ID
  • NPI 1386677524
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric C Rysenga, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Ontario, OR
  • NPI 1659319549
  Authorized official Same address or phone

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

{
    "created_epoch": "1638057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1932866860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357",
            "city": "COLCHESTER",
            "state": "IL",
            "postal_code": "62326",
            "telephone_number": "208-472-8185",
            "fax_number": "208-472-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 SW NINTH STREET",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142639",
            "telephone_number": "541-881-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ALPHONSUS PROFESSIONAL MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-28",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "RYSENGA",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PATHOLOGIST",
        "authorized_official_telephone_number": "541-881-7287",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Frank J Spokas Jr., MD
• Sports & Ortho Rehab
• Gwendolyn Beatrice Springer, RPH
• Sprinter Services
• Sprinter Shuttle Service Inc
• Star Center
• Stark Medical Group PC
• Stark Medical, PC
• Jody A. Stark, NP
• Deborah Starr Lake, DDS

• Anatomic Pathology & Clinical Pathology Physician in Ontario, OR
• Providers in Ontario, OR by specialty
• Anatomic Pathology & Clinical Pathology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.