Cory Sean Tichauer, ND

Primary specialty

NaturopathTaxonomy code 175F00000X

License

1324 Issued in OR

Practice address

1012 E Jackson St
Medford, OR 97504-7027

Phone

(541) 770-5563

Fax

(541) 772-3028

NPI assigned

Dec 6, 2006

Last updated

Aug 5, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bear Creek Naturopathich Clinic

  • Naturopath
  • Medford, OR
  • NPI 1174785869
  NPD (past) Authorized official

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249430400000",
    "number": "1982763231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 E JACKSON ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047027",
            "telephone_number": "541-770-5563",
            "fax_number": "541-772-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 E JACKSON ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047027",
            "telephone_number": "541-770-5563",
            "fax_number": "541-772-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TICHAUER",
        "first_name": "CORY",
        "middle_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2009-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029098",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "865304002",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tia Peterson Dba Serenity Trails Mental Health
• Starr Tibbett
• Diane Gale Tibbitts, L.P.C.
• Martin Tice, MD
• Michael Orion Tice, PHARMD.
• Caryn Tierney, LAC
• Ryan Tierney
• Leslie Catherine Tietjen
• Brandon D. Tilton, PT
• Michelle Marie Tilton

• Naturopath in Medford, OR
• Providers in Medford, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.