Individual provider Active NPI

Jason Sargent, D.O.

  • Family Medicine Physician
  • Reedsport, OR
National Provider Identifier
1972869832
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO173828 Issued in OR
Practice address
620 Ranch Rd
Reedsport, OR 97467-1720
Phone
(541) 271-2163
NPI assigned
Apr 4, 2012
Last updated
Jul 27, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO173828 OR Primary

Addresses

Primary practice location

620 Ranch Rd
Reedsport, OR 97467-1720

Mailing address

620 Ranch Rd
Reedsport, OR 97467-1720
Phone (541) 271-2163

Other identifiers 1

IdentifierTypeStateIssuer
276263MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150831002359 OR Practitioner - Family Practice 0648400184 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lower Umpqua Hospital DistrictGroup PAC ID 6800703562, 42 clinicians

Practice addresses (Care Compare)

620 Ranch Rd
Reedsport, OR 97467-1720
Phone (541) 271-2163

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO173828ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lower Umpqua Hospital District CurrentSince Sep 8, 2015 Accepting new patients
Lower Umpqua Hospital District CurrentSince Sep 8, 2015 Accepting new patients
North Bend Medical Center Inc CurrentSince Oct 1, 2018 Accepting new patients

Locations

1900 Woodland Dr
Coos Bay, OR 97420
Phone (541) 267-5151

385 Ranch Rd
Reedsport, OR 97467
Phone (541) 271-2119

600 Ranch Rd
Reedsport, OR 97467
Phone (541) 271-2171

620 Ranch Rd
Reedsport, OR 97467
Phone (541) 271-2163

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437955200000",
    "number": "1972869832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 RANCH RD",
            "city": "REEDSPORT",
            "state": "OR",
            "postal_code": "974671720",
            "telephone_number": "541-271-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 RANCH RD",
            "city": "REEDSPORT",
            "state": "OR",
            "postal_code": "974671720",
            "telephone_number": "541-271-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARGENT",
        "first_name": "JASON",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-04",
        "last_updated": "2015-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO173828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276263",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reedsport, OR

Sources for this page

Verify at the official NPI Registry.