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SALEM EMERGENCY PHYSICIANS SERVICE, PC
NPI 1063454395
Emergency Medicine in Salem, OR

Active since June 12, 2006
890 OAK STREET, SE BUILDING 'A', SALEM, OR 97301(503) 561-5634(503) 814-1071 Get Directions Write a Review

NPPES record last updated: November 5, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Salem Emergency Physicians Service, Pc NPPES

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

SALEM EMERGENCY PHYSICIANS SERVICE, PC (NPI 1063454395) is a healthcare organization registered as an emergency medicine in Salem, Oregon and active in the NPI registry since June 2006. The organization lists Robert Kelly, Md, as its authorized official.

NPPES Registry Identity

NPI1063454395
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameSALEM EMERGENCY PHYSICIANS SERVICE, PC
Location Address890 OAK STREET, SE BUILDING 'A'Salem, OR 97301-3905
Mailing AddressPo Box 742547Los Angeles, CA 90074-2547 · (503) 561-5634 · Fax (503) 814-1071
Phone(503) 561-5634
Fax(503) 814-1071
Organization SubpartNo
Authorized OfficialRobert KellyMd · (503) 561-5634
Enumeration DateJune 12, 2006
Last NPPES UpdateNovember 5, 2019
✔ NPI 1063454395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
890 OAK STREET, Salem, OR 97301
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Other Identifiers 8

Other8902424Washington Crime Victims
OtherCR0251Railroad Medicare
Medicaid7028699WA
Other015388000Blue Cross & Blue Shield
Other042080Washington L&i
Medicaid115808OR
Medicaid168143OR
Other68701001Group Health

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

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 Salem Emergency Physicians Service, PC's NPI number?

The NPI number for Salem Emergency Physicians Service, PC is 1063454395. It was assigned to this organization in the NPPES registry on June 12, 2006.

Where is Salem Emergency Physicians Service, PC located?

Salem Emergency Physicians Service, PC is located at 890 Oak Street SE Building 'a', Salem, OR 97301. The listed phone number is (503) 561-5634.

What is Salem Emergency Physicians Service, PC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

What insurance does Salem Emergency Physicians Service, PC accept?

Health plans from Moda Health Plan, Inc. list Salem Emergency Physicians Service, PC 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 Salem Emergency Physicians Service, PC was last updated on November 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.