Unknown Individual – Family Medicine Physician, NPI 1275962581
Family Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1750 THOMPSON RD
COOS BAY, OR 974202100
Phone:
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97420)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | OR | 20610 | Aspiration and/or injection of large joint or joint capsule | 50 | 39 |
| FAMILY MEDICINE | OR | 85610 | Blood test, clotting time | 522 | 48 |
| FAMILY MEDICINE | OR | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | NY | |
| Qualified Audiologist | OR | |
| Nurse Practitioner | OR | |
| - | OR | |
| - | OR | |
| Family Practice | HI | |
| - | MI | |
| - | OR | |
| Nurse Practitioner | OR | |
| - | OR |
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