Active NPI
Joseph R Gifford, M.D.
- Family Medicine Physician
- Hermiston, OR
National Provider Identifier
1952307183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD09041
- Practice address
- 1050 W Elm Ave
Ste 110
Hermiston, OR 97838-2713 - Phone
- (541) 567-2995
- Fax
- (541) 567-7720
- NPI assigned
- Jun 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD09041 | OR | Primary |
Addresses
Primary practice location
1050 W Elm Ave
Ste 110
Hermiston, OR 97838-2713
Mailing address
34019 River View Dr
Hermiston, OR 97838-6399
Phone (541) 567-3797
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 276278 | Medicaid | OR | |
| 084164000 | Other | OR | REGENCE BCBSO |
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 Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280275200000",
"number": "1952307183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34019 RIVER VIEW DR",
"city": "HERMISTON",
"state": "OR",
"postal_code": "978386399",
"telephone_number": "541-567-3797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 W ELM AVE",
"address_2": "STE 110",
"city": "HERMISTON",
"state": "OR",
"postal_code": "978382713",
"telephone_number": "541-567-2995",
"fax_number": "541-567-7720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIFFORD",
"first_name": "JOSEPH",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2010-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD09041",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "276278",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BCBSO",
"identifier": "084164000",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hermiston, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.