ROSEBURG HEART ASSOCIATES PC NPI 1730308529

NPI Information

NPI: 1730308529
Provider Name: ROSEBURG HEART ASSOCIATES PC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
2700 NW STEWART PKWY
SUITE 200
ROSEBURG, OR
ZIP 97470
Phone: (541) 677-6521
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ROSEBURG HEART ASSOCIATES PC is a cardiovascular disease internal medicine in Roseburg, OR. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. ROSEBURG HEART ASSOCIATES PC NPI is 1730308529. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2700 NW STEWART PKWY
SUITE 200
ROSEBURG, OR
ZIP 97470-281
Phone: (541) 677-6521

The provider's authorized official is Frederic J Van Dis .
The authorized official title is President and has the following contact phone number (541) 677-6521.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 10/30/2007.

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
1	207RC0000X	Internal Medicine	Cardiovascular Disease	MD12356	OREGON	Yes

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
1	R114985	MEDICARE PIN	OREGON

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

NPI Synchronization or Removal

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