PROVIDENCE HEALTH & SERVICES OREGON
NPI 1093894511
Hospitalist in Medford, OR

Q: What is Providence Health & Services Oregon's NPI number?

The NPI number for Providence Health & Services Oregon is 1093894511. It was assigned to this organization in the NPPES registry on November 3, 2006. The provider is doing business as Pmg South General Surgery and Providence Medical Group South.

Q: What is Providence Health & Services Oregon's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Active since November 03, 2006

1698 E MCANDREWS RD, SUITE 160, MEDFORD, OR 97504(541) 732-7874(541) 732-7875 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 19, 2025, May 12, 2025, May 12, 2023 (3 updates tracked since 2023).

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About Providence Health & Services Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES OREGON (NPI 1093894511), doing business as Pmg South General Surgery, is a healthcare organization registered as a hospitalist in Medford, Oregon and active in the NPI registry since November 2006. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1093894511

Entity TypeOrganization

Primary Taxonomy208M00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES OREGON

Location Address1698 E MCANDREWS RD, SUITE 160Medford, OR 97504-5589

Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180 · (503) 215-6494

Phone(541) 732-7874

Fax(541) 732-7875

Organization SubpartYes

Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollment · (425) 358-9786

Enumeration DateNovember 3, 2006

Last NPPES UpdateNovember 19, 20253 updates tracked since enumeration

NPPES CertifiedNovember 19, 2025

✔ NPI 1093894511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedClinic/CenterTaxonomy 261Q00000X

1698 E MCANDREWS RD, Medford, OR 97504

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Other Names 2

Doing Business AsPmg South General Surgery

Doing Business AsProvidence Medical Group South

Other Identifiers 2

Medicaid022869OR

OtherCG6801OR · Rail Road Mediare

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.

PROVIDENCE HEALTH & SERVICES - OREGON

Clinic/Center

1698 E MCANDREWS RD, STE 300
MEDFORD, OR 97504

Jackson County (541) 732-7850

MR. THONG TIEN BUI MD

Urology

1698 E MCANDREWS RD, STE 280
MEDFORD, OR 97504

Jackson County (541) 204-1699

DR. JAMES C COOK JR. MD

Internal Medicine (Cardiovascular Disease)

1698 E MCANDREWS RD, SUITE 300
MEDFORD, OR 97504

Jackson County (541) 732-7850

ROGER C OSBORN JR. MD

Internal Medicine (Interventional Cardiology)

1698 E MCANDREWS RD, STE 300
MEDFORD, OR 97504

Jackson County (541) 732-7850

DR. JAMES CAMERON CRUICKSHANK MD

Specialist

1698 E MCANDREWS RD, SUITE 220
MEDFORD, OR 97504

Jackson County (541) 245-5400

MRS. TERESA ANN MARTISAK RN CDE

Registered Nurse (Diabetes Educator)

1698 E MCANDREWS RD, SUITE 170
MEDFORD, OR 97504

Jackson County (541) 732-6957

DR. CHRISTINA HANSEL CELLURA D.O.

Family Medicine (Adult Medicine)

1698 E MCANDREWS RD, SUITE 300
MEDFORD, OR 97504

Jackson County (541) 732-7950

DR. KENNETH ROBERT AMPEL M.D.

Internal Medicine

1698 E MCANDREWS RD, #400
MEDFORD, OR 97504

Jackson County (541) 732-6000

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 Providence Health & Services Oregon's NPI number?

The NPI number for Providence Health & Services Oregon is 1093894511. It was assigned to this organization in the NPPES registry on November 3, 2006. The provider is doing business as Pmg South General Surgery and Providence Medical Group South.

Where is Providence Health & Services Oregon located?

Providence Health & Services Oregon is located at 1698 E Mcandrews Rd Suite 160, Medford, OR 97504. The listed phone number is (541) 732-7874.

What is Providence Health & Services Oregon's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

When was this NPI record last updated?

The NPPES record for Providence Health & Services Oregon was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.