Organization Active NPI

Sorweide Family Medicine PC

  • Family Medicine Physician
  • Grants Pass, OR
National Provider Identifier
1982616025
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO20800 Issued in OR
Legal business name
SORWEIDE FAMILY MEDICINE PC
Practice address
1619 NW Hawthorne Ave
Suite 101
Grants Pass, OR 97526-6008
Phone
(541) 955-0607
NPI assigned
Aug 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Derrick J Sorweide, DONPI 1497721625
Title
President
Phone
(541) 955-0607

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X DO20800 OR Primary

Addresses

Primary practice location

1619 NW Hawthorne Ave
Suite 101
Grants Pass, OR 97526-6008

Mailing address

1619 NW Hawthorne Ave
Suite 101
Grants Pass, OR 97526-6008
Phone (541) 955-0607

National Provider Directory

National Provider Directory

Locations

1619 NW Hawthorne Ave
Ste 101
Grants Pass, OR 97526
Phone (541) 916-5500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982616025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 NW HAWTHORNE AVE",
            "address_2": "SUITE 101",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975266008",
            "telephone_number": "541-955-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 NW HAWTHORNE AVE",
            "address_2": "SUITE 101",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975266008",
            "telephone_number": "541-955-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SORWEIDE FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SORWEIDE",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-955-0607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO20800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.