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PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1750460283
Surgery - Vascular Surgery in Medford, OR

Active since November 03, 2006
940 ROYAL AVE, SUITE 420, MEDFORD, OR 97504(541) 732-8388(541) 732-8387 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 19, 2025, May 12, 2025, Jul 16, 2020 (3 updates tracked since 2020).

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1750460283), doing business as Pmg South Vascular And General Surgery, is a healthcare organization registered as a vascular surgery 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

NPI1750460283
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address940 ROYAL AVE, SUITE 420Medford, OR 97504-6193
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180 · (503) 215-6494
Phone(541) 732-8388
Fax(541) 732-8387
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 1750460283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedClinic/CenterTaxonomy 261Q00000X
940 ROYAL AVE, Medford, OR 97504
Open in Google Maps ↗

Other Names 2

Doing Business AsPmg South Vascular And General Surgery
Doing Business AsProvidence Medical Group South

Other Identifiers 2

Medicaid213241OR
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.

LINDA D OSBORNE CNM
Advanced Practice Midwife
940 ROYAL AVE, SUITE 350
MEDFORD, OR 97504
Jackson County (541) 732-7460
TIMOTHY B HUTCHINGS DO
Obstetrics & Gynecology
940 ROYAL AVE, STE 350
MEDFORD, OR 97504
Jackson County (541) 732-7460
SORIN BILAUCA PAC
Physician Assistant (Surgical)
940 ROYAL AVE, SUITE 450
MEDFORD, OR 97504
Jackson County (541) 732-7850
NANCY L HAGLOCH MD
Obstetrics & Gynecology
940 ROYAL AVE, SUITE 350
MEDFORD, OR 97504
Jackson County (541) 732-7460
NANCY SEULEAN CNM
Advanced Practice Midwife
940 ROYAL AVE, SUITE 350
MEDFORD, OR 97504
Jackson County (541) 732-7460
KEVIN J TYNDALL PA-C
Physician Assistant (Surgical)
940 ROYAL AVE, SUITE 420
MEDFORD, OR 97504
Jackson County (541) 732-8388
GUADALUPE ORTIZ RN
Registered Nurse
940 ROYAL AVE
MEDFORD, OR 97504
Jackson County (541) 732-7460
BETTY KAY TAYLOR NMNP
Advanced Practice Midwife
940 ROYAL AVE, STE 350
MEDFORD, OR 97504
Jackson County (541) 732-7460

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 1750460283. It was assigned to this organization in the NPPES registry on November 3, 2006. The provider is doing business as Pmg South Vascular And General Surgery and Providence Medical Group South.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 940 Royal Ave Suite 420, Medford, OR 97504. The listed phone number is (541) 732-8388.

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

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

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 with the weekly NPPES data releases published by CMS.