Oregon Urology Clinic, P.C.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD07089 Issued in OR

Legal business name

OREGON UROLOGY CLINIC, P.C.

Practice address

3100 NE 28TH Street Suite C
Lincoln City, OR 97367-4518

Phone

(503) 229-7722

Fax

(503) 222-5679

NPI assigned

Aug 1, 2008

Organization subpart

No

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

Authorized official

Name

Dr. David R. Rosencrantz, M.D.

Title

Physician/Surgeon

Phone

(503) 229-7722

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1952567653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 NW LOVEJOY STREET SUITE 416",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105102",
            "telephone_number": "503-229-7722",
            "fax_number": "503-222-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NE 28TH STREET SUITE C",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973674518",
            "telephone_number": "503-229-7722",
            "fax_number": "503-222-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON UROLOGY CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-01",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "ROSENCRANTZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PHYSICIAN/SURGEON",
        "authorized_official_telephone_number": "503-229-7722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "OR",
            "license": "MD07089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287875",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID#",
            "identifier": "38D1047175",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert L. Oksenholt, D.O.
• Matthew Olsen, CCC-SLP
• Open Minds Counseling and Hypnotherapy
• Karl Douglas Ordelheide, MD
• Oregon Endodontics
• Darell Dean Orton, M.D.
• Sharon Lynn Padilla
• Mary Ann G Palmer, AP60586141
• Paul S. Palmer, CRNA
• Devon D Peterson, CRNA

• Urology Physician in Lincoln City, OR
• Providers in Lincoln City, OR by specialty
• Urology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.