EDUARDO ERASTO SANTIAGO ONGKEKO M.D. NPI 1831342773

NPI Information

NPI: 1831342773
Provider Name: EDUARDO ERASTO SANTIAGO ONGKEKO, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
1900 WOODLAND DR
COOS BAY, OR
ZIP 97420
Phone: (541) 267-5151
Get Directions

Eduardo Erasto Santiago Ongkeko, M.D. is a family medicine in Coos Bay, OR. The provider is 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. Eduardo Erasto Santiago Ongkeko, M.D. NPI is 1831342773. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1900 WOODLAND DR
COOS BAY, OR
ZIP 97420-045
Phone: (541) 267-5151
Fax: (541) 266-4565

The enumeration date for this NPI number is 10/23/2008 and was last updated on 7/26/2011.

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	207Q00000X	Family Medicine		MT192364	PENNSYLVANIA	No
2	207Q00000X	Family Medicine		MD154449	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	93-0635514	OTHER	OREGON	NBMC-MAIN GROUP TAX ID FOR BILLING
2	500635456	MEDICAID	OREGON
3	R0000WFBTV	OTHER	OREGON	NBMC-MAIN GROUP MEDICARE
4	161133	OTHER	OREGON	NBMC-MAIN GROUP MEDICAID
5	1407812365	OTHER	OREGON	NBMC-MAIN GROUP NPI

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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