Organization Active NPI

Gi Associates, PC

  • Gastroenterology Physician
  • Roseburg, OR
National Provider Identifier
1962637058
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD12260 Issued in OR
Legal business name
GI ASSOCIATES, PC
Practice address
2560 NW Medical Park Dr
Roseburg, OR 97471-5510
Phone
(541) 673-2044
Fax
(541) 673-0454
NPI assigned
May 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Authorized official

Name
Thomas J Harpole, MD
Title
Corp President
Phone
(541) 673-2044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X MD12260 OR Primary

Addresses

Primary practice location

2560 NW Medical Park Dr
Roseburg, OR 97471-5510

Mailing address

2560 NW Medical Park Dr
Roseburg, OR 97471-5510
Phone (541) 673-2044

Other identifiers 1

IdentifierTypeStateIssuer
113290MedicaidOR

National Provider Directory

National Provider Directory

Locations

2560 NW Medical Park Dr
Roseburg, OR 97471
Phone (541) 673-2044

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1962637058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 NW MEDICAL PARK DR",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974715510",
            "telephone_number": "541-673-2044",
            "fax_number": "541-673-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 NW MEDICAL PARK DR",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974715510",
            "telephone_number": "541-673-2044",
            "fax_number": "541-673-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GI ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "HARPOLE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CORP PRESIDENT",
        "authorized_official_telephone_number": "541-673-2044",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OR",
            "license": "MD12260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113290",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.