PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1154675411
Hospitalist in Medford, OR

Active since November 07, 2012
1111 CRATER LAKE AVE, MEDFORD, OR 97504(541) 732-5545(541) 732-5548 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, Nov 4, 2021 (3 updates tracked since 2021).

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1154675411), doing business as Providence Medical Group South, is a healthcare organization registered as a hospitalist in Medford, Oregon and active in the NPI registry since November 2012. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1154675411
Entity TypeOrganization
Primary Taxonomy208M00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address1111 CRATER LAKE AVEMedford, OR 97504-6241
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180 · (503) 215-6271
Fax(541) 732-5548
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollment · (425) 358-9786
Enumeration DateNovember 7, 2012
Last NPPES UpdateNovember 19, 20253 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
NPI 1154675411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1111 CRATER LAKE AVE, Medford, OR 97504

Other Names 2

Doing Business AsProvidence Medical Group South
Doing Business AsProvidence Medical Group - Medford Hospitalists

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

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.

Internal Medicine (Critical Care Medicine)
1111 CRATER LAKE AVE
MEDFORD, OR 97504
Speech-Language Pathologist
1111 CRATER LAKE AVE
MEDFORD, OR 97504
Clinic/Center
1111 CRATER LAKE AVE
MEDFORD, OR 97504
Pharmacist
1111 CRATER LAKE AVE
MEDFORD, OR 97504
Internal Medicine (Critical Care Medicine)
1111 CRATER LAKE AVE
MEDFORD, OR 97504
Physical Therapist (Neurology)
1111 CRATER LAKE AVE
MEDFORD, OR 97504
Physical Therapy Assistant
1111 CRATER LAKE AVE
MEDFORD, OR 97504
Pharmacist
1111 CRATER LAKE AVE
MEDFORD, OR 97504

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 1154675411. It was assigned to this organization in the NPPES registry on November 7, 2012. The provider is doing business as Providence Medical Group South and Providence Medical Group - Medford Hospitalists.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 1111 Crater Lake Ave, Medford, OR 97504. The listed phone number is (541) 732-5545.

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.