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PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1710356001
Family Medicine in Medford, OR

Active since September 17, 2015
3225 HILLCREST PARK DRIVE, MEDFORD, OR 97504(541) 774-5700(541) 734-3638 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 19, 2025, May 12, 2025, Feb 28, 2018 and 1 more (4 updates tracked since 2016).

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1710356001), doing business as Providence Medical Group South, is a healthcare organization registered as a family medicine in Medford, Oregon and active in the NPI registry since September 2015. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1710356001
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address3225 HILLCREST PARK DRIVEMedford, OR 97504
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180 · (541) 734-3430 · Fax (541) 734-3638
Phone(541) 774-5700
Fax(541) 734-3638
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollment · (425) 358-9786
Enumeration DateSeptember 17, 2015
Last NPPES UpdateNovember 19, 20254 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1710356001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/CenterTaxonomy 261Q00000X
3225 HILLCREST PARK DRIVE, Medford, OR 97504
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Other Names 1

Doing Business AsProvidence Medical Group South

Other Identifiers 1

Medicaid500692785OR

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Providence Health & Services - Oregon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

181

Medicare enrollment records show 181 clinicians reassign Medicare billing to Providence Health & Services - Oregon, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 106 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 21

Nurse Practitioner38
Internal Medicine22
Hospitalist21
Family Practice16
Obstetrics/Gynecology11
Pediatric Medicine11
Cardiovascular Disease (Cardiology)9
Clinical Psychologist9
13 other specialties44

Nearest to this location (20)

See all 181
Amy Cohee, FNP
Nurse Practitioner
NPI 1508690835
3225 HILLCREST PARK DR
Medford, OR 97504
(541) 774-5700
✔ PECOS✔ Accepts MedicareSame address
Travis Day, FNP
Nurse Practitioner
NPI 1912333451
3225 HILLCREST PARK DR
Medford, OR 97504
(541) 774-5700
✔ PECOS✔ Accepts MedicareSame address
Garrett Peard, MD
Internal Medicine
NPI 1124025580
3225 HILLCREST PARK DRIVE
Medford, OR 97504
(541) 734-3430
✔ PECOS✔ Accepts MedicareSame address
Wesley Ramoso, MD
Family Practice
NPI 1649591223
3225 HILLCREST PARK DR
Medford, OR 97504
(541) 774-5700
✔ PECOS✔ Accepts MedicareSame address
Pratibha Seshadri, M.D
Infectious Disease
NPI 1801143615
691 MURPHY RD
Medford, OR 97504
(541) 789-4505
✔ PECOS✔ Accepts Medicare1.0 mi
Ee Wan, MD
Internal Medicine
NPI 1558532317
749 GOLF VIEW DR UNIT A
Medford, OR 97504
(541) 690-8231
✔ PECOS✔ Accepts Medicare1.1 mi
Ekaterina Alchits, M.D.
Hospitalist
NPI 1922449081
2825 E BARNETT RD
Medford, OR 97504
(541) 282-6770
✔ PECOS✔ Accepts Medicare1.1 mi
Vashti Ivey, FNP
Nurse Practitioner
NPI 1497159933
2825 E BARNETT RD
Medford, OR 97504
(541) 789-7000
✔ PECOS✔ Accepts Medicare1.1 mi
Rupinder Heer, PHD
Clinical Psychologist
NPI 1538837687
965 ELLENDALE DR
Medford, OR 97504
(541) 732-6000
✔ PECOS✔ Accepts Medicare1.8 mi
Lindsey Patterson, RD
Registered Dietitian or Nutrition Professional
NPI 1548818180
965 ELLENDALE DR
Medford, OR 97504
(541) 732-6000
✔ Accepts Medicare1.8 mi
Subhechchha Shah, MD
Family Practice
NPI 1245595206
965 ELLENDALE DR
Medford, OR 97504
(541) 732-6000
✔ PECOS✔ Accepts Medicare1.8 mi
Sivajothi Kanagalingam, MD
Pulmonary Disease
NPI 1952616369
827 SPRING ST
Medford, OR 97504
(541) 732-7600
✔ PECOS✔ Accepts Medicare2.4 mi
Andrew Tang, D.O.
Physical Medicine and Rehabilitation
NPI 1356769798
827 SPRING ST
Medford, OR 97504
(541) 732-8360
✔ PECOS✔ Accepts Medicare2.4 mi
Amanda Bujaucius, CNM
Certified Nurse Midwife (CNM)
NPI 1891205134
940 ROYAL AVE UNIT 350
Medford, OR 97504
(541) 732-7460
✔ PECOS✔ Accepts Medicare2.4 mi
William Craft, MD
General Surgery
NPI 1689760506
940 ROYAL AVE SUITE 420
Medford, OR 97504
(541) 732-8388
✔ PECOS✔ Accepts Medicare2.4 mi
Timothy Hutchings, DO
Urology
NPI 1144345455
940 ROYAL AVE STE 350
Medford, OR 97504
(541) 732-7460
✔ PECOS✔ Accepts Medicare2.4 mi
Jennifer Jackson, M.D.
Obstetrics/Gynecology
NPI 1174784367
940 ROYAL AVE UNIT 350
Medford, OR 97504
(541) 732-7460
✔ PECOS✔ Accepts Medicare2.4 mi
Aaron Partsafas, M.D.
Vascular Surgery
NPI 1578772935
940 ROYAL AVE SUITE 420
Medford, OR 97504
(541) 732-8388
✔ PECOS✔ Accepts Medicare2.4 mi
Michael Davis, M.D
Pediatric Medicine
NPI 1629150420
840 ROYAL AVE SUITE 110
Medford, OR 97504
(541) 732-8370
✔ PECOS2.5 mi
Walter Carlini, MD
Neurology
NPI 1770583338
920 ROYAL AVE
Medford, OR 97504
(541) 732-8400
✔ PECOS✔ Accepts Medicare2.5 mi
See all 181 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1710356001. It was assigned to this organization in the NPPES registry on September 17, 2015. The provider is doing business as Providence Medical Group South.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 3225 Hillcrest Park Drive, Medford, OR 97504. The listed phone number is (541) 774-5700.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Providence Health & Services - Oregon enrolled in Medicare?

Yes. Providence Health & Services - Oregon is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Health & Services - Oregon?

According to the CMS Revalidation Reassignment List (October 2026 release), 181 clinicians in 21 Medicare specialties reassign their Medicare billing to Providence Health & Services - Oregon. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (38), Internal Medicine (22) and Hospitalist (21). Of these, 4 practice at this address and 106 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Providence Health & Services - Oregon accept?

Health plans from Providence Health Plan 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 11 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.