OPTIMAL HEALTH OF SOUTHERN OREGON, LLC
NPI 1902353907
Family Medicine in Grants Pass, OR

Q: What is Optimal Health Of Southern Oregon, LLC's specialty?

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

Active since September 07, 2016CLIA 38D2138128 · Waiver

1600 NW 6TH ST SOUTH SUITE, GRANTS PASS, OR 97526(541) 507-1948(541) 727-0382 Get Directions Write a Review

NPPES record last updated: April 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 18, 2018, Jan 4, 2017 (2 updates tracked since 2017).

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About Optimal Health Of Southern Oregon, Llc NPPES

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

OPTIMAL HEALTH OF SOUTHERN OREGON, LLC (NPI 1902353907) is a healthcare organization registered as a family medicine in Grants Pass, Oregon and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through October 9, 2027 and lists Wendell Charles Heidinger, Owner, as its authorized official.

NPPES Registry Identity

NPI1902353907

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameOPTIMAL HEALTH OF SOUTHERN OREGON, LLC

Location Address1600 NW 6TH ST SOUTH SUITEGrants Pass, OR 97526

Mailing Address1600 Nw 6th St South SuiteGrants Pass, OR 97526 · (541) 507-1948 · Fax (541) 727-0382

Phone(541) 507-1948

Fax(541) 727-0382

Organization SubpartNo

Authorized OfficialWendell Charles HeidingerOwner · (541) 507-1948

Enumeration DateSeptember 7, 2016

Last NPPES UpdateApril 18, 20182 updates tracked since enumeration

✔ NPI 1902353907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OR · MD18680

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.

1600 NW 6TH ST SOUTH SUITE, Grants Pass, OR 97526

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Other Identifiers 1

Medicaid190932OR

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2138128

Optimal Health Of Southern Oregon · Grants Pass, OR

Active · expires Oct 9, 2027

CLIA Number38D2138128

Laboratory TypePhysician Office

Certificate Effective DateOctober 10, 2025

Certificate Expiration DateOctober 9, 2027

Laboratory DirectorWendell C. Heidinger

Laboratory Phone(541) 507-1948

Laboratory LocationOptimal Health Of Southern Oregon1600 NW 6th St South, Grants Pass, OR 97526

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Optimal Health Of Southern Oregon, LLC's NPI number?

The NPI number for Optimal Health Of Southern Oregon, LLC is 1902353907. It was assigned to this organization in the NPPES registry on September 7, 2016.

Where is Optimal Health Of Southern Oregon, LLC located?

Optimal Health Of Southern Oregon, LLC is located at 1600 NW 6th St South Suite, Grants Pass, OR 97526. The listed phone number is (541) 507-1948.

What is Optimal Health Of Southern Oregon, LLC's specialty?

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

Does Optimal Health Of Southern Oregon, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2138128) is associated with this NPI, valid through October 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Optimal Health Of Southern Oregon, LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Optimal Health Of Southern Oregon, LLC 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 Optimal Health Of Southern Oregon, LLC was last updated on April 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.