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JASON M CONAUGHTY MD PC NPI 1336420777


NPI Information

NPI: 1336420777
Provider Name: JASON M CONAUGHTY MD PC

Other Name: JASON M CONAUGHTY MD

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2200 BRYANT WILLIAMS DR
SUITE 1
KLAMATH FALLS, OR
ZIP 97601
Phone: (541) 884-7746
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JASON M CONAUGHTY MD PC is a specialist in Klamath Falls, OR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. JASON M CONAUGHTY MD PC NPI is 1336420777. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Jason M Conaughty Md.

The provider's business location address is:

2200 BRYANT WILLIAMS DR
SUITE 1
KLAMATH FALLS, OR
ZIP 97601-120
Phone: (541) 884-7746
Fax: (541) 884-0848

The provider's authorized official is Jeanette L Gansberg .
The authorized official title is Executive Director and has the following contact phone number (541) 274-2902.

The enumeration date for this NPI number is 8/30/2011 and was last updated on 11/14/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistMD151649OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DS2164OTHEROREGONRAIL ROAD MEDICARE
2512922000OTHEROREGONBLUE CROSS
3=========97601A002OTHEROREGONTRICARE
4R162062MEDICARE PINOREGON
56617840001MEDICARE NSCOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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