PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1487733929
Internal Medicine - Interventional Cardiology in Medford, OR

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Active since November 03, 2006

1698 E MCANDREWS RD, SUITE 300, MEDFORD, OR 97504(541) 732-7850(541) 732-7851 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2025, May 12, 2025, Nov 5, 2021 (3 updates tracked since 2021).

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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 1487733929), doing business as Pmg South Cardiology, is a healthcare organization registered as an interventional cardiology 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

NPI1487733929

Entity TypeOrganization

Primary Taxonomy207RI0011X

Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON

Location Address1698 E MCANDREWS RD, SUITE 300Medford, OR 97504-5589

Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180 · (541) 732-7850

Phone(541) 732-7850

Fax(541) 732-7851

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 1487733929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedClinic/CenterTaxonomy 261Q00000X

1698 E MCANDREWS RD, Medford, OR 97504

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Other Names 2

Doing Business AsPmg South Cardiology

Doing Business AsProvidence Medical Group South

Other Identifiers 2

Medicaid278306OR

OtherCG6801OR · Rail Road Medicare

Accepted Insurance

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

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

PROVIDENCE HEALTH & SERVICES OREGON

Hospitalist

1698 E MCANDREWS RD, SUITE 160
MEDFORD, OR 97504

Jackson County (541) 732-7874

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

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 1487733929. It was assigned to this organization in the NPPES registry on November 3, 2006. The provider is doing business as Pmg South Cardiology and Providence Medical Group South.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 1698 E Mcandrews Rd Suite 300, Medford, OR 97504. The listed phone number is (541) 732-7850.

What is Providence Health & Services - Oregon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

What insurance does Providence Health & Services - Oregon accept?

Health plans from Moda Health Plan, Inc. list Providence Health & Services - Oregon 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 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.