Optimal Health of Southern Oregon, LLC
NPI 1902353907ActiveOrganization· Family Medicine· Grants Pass, OR
Family Medicine in Grants Pass, Oregon, registered in NPPES in September 2016. The authorized official on file is Wendell Charles Heidinger, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1902353907 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 7, 2016 |
| Last updated in NPPES | Apr 18, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | MD18680 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OR) |
|---|
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