PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1114396082
Surgery in Medford, OR
NPI Status: Active since September 21, 2015
Contact Information
707 MURPHY RD
MEDFORD, OR
ZIP 97504
Phone: (541) 734-3430
- Organization
- Surgery
- CLIA Number: 38D2211012
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-24-2027
About PROVIDENCE HEALTH & SERVICES - OREGON
This page provides the complete NPI Profile along with additional information for Providence Health & Services - Oregon, a provider established in Medford, Oregon operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1114396082 assigned on September 2015. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's
- NPI
- 1114396082
- Provider Legal Name
- PROVIDENCE HEALTH & SERVICES - OREGON
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 707 MURPHY RD MEDFORD, OR 97504
- Location Phone
- (541) 734-3430
- Mailing Address
- PO BOX 31001 - 4180 PASADENA, CA 91110
- Mailing Phone
- (541) 734-3430
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-21-2015
- Last Update Date
- 11-19-2025
- Code Navigator
A surgeon like Providence Health & Services - Oregon treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery
- Taxonomy Code
- 208600000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 38D2211012
- Facility Type
- Physician Office
- Certificate Effective Date
- January 25, 2025
- Certificate Expiration Date
- January 24, 2027
- Laboratory Director
- CHRISTELLE SERRA VAN BRUNT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Providence Health & Services - Oregon to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1114396082, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
MEDFORD, OR 97504
MEDFORD, OR 97504
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114396082, enumerated as an "organization" on September 21, 2015.
The provider is located at 707 MURPHY RD MEDFORD, OR 97504 and the phone number is (541) 734-3430.
Surgery with taxonomy code 208600000X.
