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NPI Code Detail

MEDICARE: EASTERN OREGON MEDICAL ASSOCIATES,LLC

MEDICARE: EASTERN OREGON MEDICAL ASSOCIATES,LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2838159000OTHERORBLUE CROSS #
3DA6341OTHERORRAILROAD

General Provider Information

NPI Number : 1124069620
Entity Type Code : Organization
Provider Name (Legal Business Name) : EASTERN OREGON MEDICAL ASSOCIATES,LLC
Provider Business Mailing Address
First Line : 3950 17TH ST
Second Line : SUITE A
City : BAKER CITY
State : OR
Zip : 97814-1300
Country : US
Telephone Number : 541-523-1001
Fax Number : 541-523-1152
Provider Business Practice Location Address
First Line : 3950 17TH ST
Second Line : SUITE A
City : BAKER CITY
State : OR
Zip : 97814-1300
Country : US
Telephone Number : 541-523-1001
Fax Number : 541-523-1152
Authorized Official
Title or Position : MANAGING PARTNER
Name : DR. JON D. SCHOTT
Credential : M.D.
Telephone Number : 541-523-1001
Provider Enumeration Date : 06/08/2006
Last Update Date : 02/28/2008

Similar Medicare Providers

1750381224 — CHARLES E HOFMANN MD
Practice Location Address:
3820 17TH ST
BAKER CITY, OR
97814-1300
Practice Phone: 541-523-4465
Practice Fax: 541-523-4469
1427046820 — MR. J DANIEL SMITHSON MD
Practice Location Address:
3950 17TH ST , SUITE A
BAKER CITY, OR
97814-1300
Practice Phone: 541-523-1001
Practice Fax: 541-523-1152
1841288339 — MRS. LINDA Y ELLIS NP
Practice Location Address:
3950 17TH ST , SUITE A
BAKER CITY, OR
97814-1300
Practice Phone: 541-523-1001
Practice Fax: 541-523-1152
1750379244 — MR. ERIC R. LAMB MD
Practice Location Address:
3950 17TH ST , SUITE A
BAKER CITY, OR
97814-1300
Practice Phone: 541-523-1001
Practice Fax:
1366430670 — MRS. DEBORAH J VENCILL NP
Practice Location Address:
3950 17TH ST , SUITE A
BAKER CITY, OR
97814-1300
Practice Phone: 541-523-1001
Practice Fax:
1710975024 — JONATHAN D SCHOTT MD
Practice Location Address:
3950 17TH ST , SUITE A
BAKER CITY, OR
97814-1300
Practice Phone: 541-573-1001
Practice Fax:

Directions to “EASTERN OREGON MEDICAL ASSOCIATES,LLC ” Practice Location

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