GOOD SHEPHERD MEDICAL GROUP – NPI #1336198159
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

GOOD SHEPHERD MEDICAL GROUP is a provider located in HERMISTON, OR. NPPES has assigned the NPI number 1336198159 to GOOD SHEPHERD MEDICAL GROUP on May 09, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GOOD SHEPHERD MEDICAL GROUP” is a dba name, the actual legal business name for this organization is GOOD SHEPHERD HEALTH CARE SYSTEM. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 7 years ago on Jul 29, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GOOD SHEPHERD MEDICAL GROUP below.

NPI Profile for
GOOD SHEPHERD HEALTH CARE SYSTEM

NPI Number
1336198159
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GOOD SHEPHERD HEALTH CARE SYSTEM
Doing Business As (dba): GOOD SHEPHERD MEDICAL GROUP
Primary location
600 NW 11TH ST STE E33
HERMISTON, OR 97838-8604
Phone: (541) 667-3740 Fax: (541) 667-3732
Mailing address
610 NW 11TH ST
E37
HERMISTON, OR 97838-6601
Phone: (541) 667-3486 Fax: (541) 667-3487
Organization Subpart
Yes - GOOD SHEPHERD MEDICAL GROUP is subpart of another organization.
Authorized Official
JAN PETER
CHIEF FINANCIAL OFFICER
Phone: (541) 667-3416
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
261QR1300X
- Clinic/Center / Rural Health
2080P0206X
- Pediatrics / Pediatric Gastroenterology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.