CHI Mercy Medical Center – Surgery Physician, NPI 1215106133
Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for CHI Mercy Medical Center
Mercy Drive, Roseburg, Douglas County, Oregon, 97471, United States
STE. 340
ROSEBURG, OR 97471
Phone: (541) 677-4319
Fax: (541) 677-2294
Type: Mailing
CHI Mercy Health Mercy Medical Center, 2700, Northwest Stewart Parkway, Roseburg, Douglas County, Oregon, 97471, United States
ROSEBURG, OR 97471
Phone: (541) 677-4319
Fax: (541) 677-2294
Type: Location
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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Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2003-11-11
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97471)
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