Optimal Health of Southern Oregon, LLC
Family Medicine

Address: 1600 Nw 6th St South Suite, Grants Pass, OR 97526
Phone: 5415071948

Optimal Health of Southern Oregon, LLC (NPI# 1902353907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1902353907
Entity Type Organization
Organization Name OPTIMAL HEALTH OF SOUTHERN OREGON, LLC
Practice Address 1600 Nw 6th St South Suite
Grants Pass
OR 97526
Practice Telephone 5415071948
Practice Fax Number 5417270382
Mailing Address 1600 Nw 6th St South Suite
Grants Pass
OR 97526
Mailing Telephone 5415071948
Mailing Fax Number 5417270382
Authorized Official Name Wendell Charles Heidinger (OWNER)
Authorized Official Telephone 5415071948
Authorized Official Credential MD
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2016-09-07
Last Update Date 2018-04-18

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207Q00000X Family Medicine Allopathic & Osteopathic Physicians MD18680 OR

Other Provider Identifier

State Identifier Issuer Type Code
OR 190932 MEDICAID

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821308032 Angela C Mount Family Medicine 520 Sw Ramsey Suite 101, Grants Pass, OR 97527-5535 2010-10-21
1003049818 Volodymyr Y. Dovhyy Family Medicine 520 Sw Ramsey, Suite 101, Grants Pass, OR 97527-5535 2009-08-26
1861443186 Heather A. Kahn, Md PC Family Medicine 702 Sw Ramsey Ave, Suite 120, Grants Pass, OR 97527 2006-05-12
1902854896 Thomas Martin Turek Family Medicine 124 Midland Ave., Grants Pass, OR 97526 2006-05-04
1821077157 Beverly Ann Steinman Family Medicine 125 Ne Manzanita Ave, Grants Pass, OR 97526-1400 2006-01-13
1366438095 Jon Ermshar Family Medicine 1716 Williams Hwy, Grants Pass, OR 97527-5661 2005-09-27
1003809666 Steven R Foutz Family Medicine 124b Nw Midland Ave, Grants Pass, OR 97526-1267 2005-08-29
1508858051 Dan Phillip Gleffe Family Medicine 2044 Sarum Circle, Grants Pass, OR 97526-6347 2005-08-19
1740272285 Kristin Miller Family Medicine 1701 Nw Hawthorne Ave, Suite 201, Grants Pass, OR 97526-1257 2005-08-19
1194725069 Barry Hamann Family Medicine 741 Ne 7th St, Grants Pass, OR 97526-1632 2005-07-21
Find all providers in GRANTS PASS

Office Location

Street Address 1600 NW 6TH ST SOUTH SUITE
City GRANTS PASS
State OR
Zip Code 97526

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205476777 Kyla M Mccormick Peer Specialist 109 Nw Manzanita Avenue, Grants Pass, OR 97526 2020-01-13
1164076469 Alicia Yvonne Hansen Counselor 1055 Clarey St., Grants Pass, OR 97526 2019-07-25
1841842598 Michael Liam Reynolds, Dds, LLC Dentist 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 2019-07-12
1881254746 Brandi Mccrorey Counselor 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 2019-06-13
1700364502 Premier Community Supports, LLC. Day Training, Developmentally Disabled Services 1439 Ne 6th St Ste C, Grants Pass, OR 97526 2018-08-02
1821584509 Stefani Mcintyre Massage Therapist 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 2018-07-06
1114467438 Sandra P Martin Chiropractor 333 Sw 5th St. Suite B, Grants Pass, OR 97526 2017-03-06
1801347612 Maci Wageman Counselor 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 2016-10-17
1982150793 Tanya White Counselor 402 Nw Fstreet, Grants Pass, OR 97526 2016-08-31
1871968602 Jeffrey A Christophersen Counselor 109 Nw Manzanita Ave, Grants Pass, OR 97526 2015-12-04
Find all providers in zip 97526

Competitor

Search similar providers

City GRANTS PASS
Zip Code 97526

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.