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SOUTHERN OREGON CARDIOLOGY LLC
NPI 1033444781
Internal Medicine - Cardiovascular Disease in Medford, OR

Active since October 14, 2009CLIA 38D0973870 · Waiver
520 MEDICAL CENTER DR, STE 200, MEDFORD, OR 97504(541) 282-6600(541) 282-6601 Get Directions Write a Review

NPPES record last updated: May 4, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southern Oregon Cardiology Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN OREGON CARDIOLOGY LLC (NPI 1033444781) is a healthcare organization registered as a cardiovascular disease in Medford, Oregon and active in the NPI registry since October 2009. The organization holds a CLIA Waiver certificate valid through May 21, 2028 and lists Richard Bodager, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033444781
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameSOUTHERN OREGON CARDIOLOGY LLC
Location Address520 MEDICAL CENTER DR, STE 200Medford, OR 97504-4314
Mailing Address520 Medical Center Dr, Ste 200Medford, OR 97504-4314 · (541) 282-6600 · Fax (541) 282-6601
Phone(541) 282-6600
Fax(541) 282-6601
Organization SubpartNo
Authorized OfficialRichard BodagerCeo · (541) 789-5600
Enumeration DateOctober 14, 2009
Last NPPES UpdateMay 4, 2012
✔ NPI 1033444781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in OR · 1000026501
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

520 MEDICAL CENTER DR, Medford, OR 97504
Open in Google Maps ↗

Other Identifiers 1

Medicare PINR150509OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D0973870

Southern Oregon Cardiology LLC · Medford, OR
Active · expires May 21, 2028
CLIA Number38D0973870
Laboratory TypePhysician Office
Certificate Effective DateMay 22, 2026
Certificate Expiration DateMay 21, 2028
Laboratory DirectorEric A. Pena MD
Laboratory Phone(541) 282-6600
Laboratory LocationSouthern Oregon Cardiology LLC520 Medical Center Drive #200, Medford, OR 97504
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRUCE L PATTERSON MD, FACC
Internal Medicine (Cardiovascular Disease)
520 MEDICAL CENTER DR, STE 200
MEDFORD, OR 97504
Jackson County (541) 282-6606
HEART CLINIC OF SOUTHERN OREGON & NORTHERN CALIFORNIA PC
Internal Medicine (Cardiovascular Disease)
520 MEDICAL CENTER DR, SUITE 200
MEDFORD, OR 97504
Jackson County (541) 282-6600
STEPHEN J SCHNUGG MD, FACC
Internal Medicine (Cardiovascular Disease)
520 MEDICAL CENTER DR, STE 200
MEDFORD, OR 97504
Jackson County (541) 282-6606
ERIC A PENA MD FACC
Internal Medicine (Clinical Cardiac Electrophysiology)
520 MEDICAL CENTER DR, SUITE 200
MEDFORD, OR 97504
Jackson County (541) 282-6606
MARK M HUTH MD, FACC
Internal Medicine (Cardiovascular Disease)
520 MEDICAL CENTER DR, STE 200
MEDFORD, OR 97504
Jackson County (541) 282-6606
DR. RICHARD L SNIDER M.D.
Internal Medicine (Cardiovascular Disease)
520 MEDICAL CENTER DR, SUITE 100
MEDFORD, OR 97504
Jackson County (541) 789-5600
DOUGLAS T BURWELL M.D.
Internal Medicine (Cardiovascular Disease)
520 MEDICAL CENTER DR, SUITE 100
MEDFORD, OR 97504
Jackson County (541) 789-5600
DONALD L BOWSER NP
Internal Medicine (Cardiovascular Disease)
520 MEDICAL CENTER DR, SUITE 100
MEDFORD, OR 97504
Jackson County (541) 789-5704

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Oregon Cardiology LLC's NPI number?

The NPI number for Southern Oregon Cardiology LLC is 1033444781. It was assigned to this organization in the NPPES registry on October 14, 2009.

Where is Southern Oregon Cardiology LLC located?

Southern Oregon Cardiology LLC is located at 520 Medical Center Dr Ste 200, Medford, OR 97504. The listed phone number is (541) 282-6600.

What is Southern Oregon Cardiology LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Southern Oregon Cardiology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0973870) is associated with this NPI, valid through May 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southern Oregon Cardiology LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Southern Oregon Cardiology LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southern Oregon Cardiology LLC was last updated on May 4, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.