Active NPI
Treasure Valley Medical Group
Doing business as Treasure Valley Internal Medicine
- Medical Specialty Clinic/Center
- Ontario, OR
National Provider Identifier
1982694345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- TREASURE VALLEY MEDICAL GROUP
- Doing business as
- Treasure Valley Internal Medicine
- Practice address
- 1050 SW 3Rd Ave
Suite 3200
Ontario, OR 97914-2193 - Phone
- (541) 881-7370
- Fax
- (541) 881-7379
- NPI assigned
- Oct 26, 2005
- Last updated
- Dec 21, 2007
- Organization subpart
- Yes
- Parent organization
- HOLY ROSARY MEDICAL CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather Lynn Rivera
- Title
- Practice Manager
- Phone
- (541) 881-7358
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | OR | Primary |
Addresses
Primary practice location
1050 SW 3Rd Ave
Suite 3200
Ontario, OR 97914-2193
Mailing address
351 SW 9TH St
Ontario, OR 97914-2639
Phone (541) 881-7370
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DB4506 | Other | OR | RAILROAD MEDICARE |
| 134400 | Other | OR | OMAP GROUP NUMBER |
Other names 1
- Treasure Valley Internal Medicine
National Provider Directory
National Provider Directory- Part of
- Holy Rosary Medical Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1198195200000",
"number": "1982694345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "351 SW 9TH ST",
"city": "ONTARIO",
"state": "OR",
"postal_code": "979142639",
"telephone_number": "541-881-7370",
"fax_number": "541-881-7379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 SW 3RD AVE",
"address_2": "SUITE 3200",
"city": "ONTARIO",
"state": "OR",
"postal_code": "979142193",
"telephone_number": "541-881-7370",
"fax_number": "541-881-7379"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TREASURE VALLEY MEDICAL GROUP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HOLY ROSARY MEDICAL CENTER",
"enumeration_date": "2005-10-26",
"last_updated": "2007-12-21",
"status": "A",
"authorized_official_last_name": "RIVERA",
"authorized_official_first_name": "HEATHER",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "541-881-7358"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DB4506",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OMAP GROUP NUMBER",
"identifier": "134400",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Treasure Valley Internal Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Ontario, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.