NPIMap

Organization Active NPI

Applewood Women's Center PC

  • Gynecology Physician
  • Klamath Falls, OR
National Provider Identifier
1972739159
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
MD24075 Issued in OR
Legal business name
APPLEWOOD WOMEN'S CENTER PC
Practice address
2301 Mountain View Blvd
Suite a
Klamath Falls, OR 97601-1137
Phone
(541) 884-6374
NPI assigned
Jun 2, 2009
Last updated
Nov 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
Cory T Johnson, M.D.NPI 1851407282
Title
President
Phone
(541) 884-6374

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X MD24075 OR Primary

Addresses

Primary practice location

2301 Mountain View Blvd
Suite a
Klamath Falls, OR 97601-1137

Mailing address

2301 Mountain View Blvd
Suite a
Klamath Falls, OR 97601-1137
Phone (541) 884-6374

Other identifiers 1

IdentifierTypeStateIssuer
500609318MedicaidOR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1972739159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 MOUNTAIN VIEW BLVD",
            "address_2": "SUITE A",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011137",
            "telephone_number": "541-884-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 MOUNTAIN VIEW BLVD",
            "address_2": "SUITE A",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011137",
            "telephone_number": "541-884-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLEWOOD WOMEN'S CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-884-6374",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OR",
            "license": "MD24075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500609318",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.