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Susannah Bishop

Counselor - Professional β€’ Medford, OR

Active NPI 1811215924 Individual Practitioner Female Practitioner
Practice location in NPPES

503 Airport Rd Ste 102
Medford, OR 975044159

Call 5412002900 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

503 Airport Rd Ste 102

Medford, OR 975044159

Telephone 5412002900
Fax 5412002948
Organization at the Same NPPES Address or Phone
Columbiacare Services Inc Facility NPI 1861942096

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2010

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Medford and Oregon

84 active clinicians are listed under Counselor - Professional with a practice address in Medford, OR (2,559 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Medford

3.6% of these 84 clinicians have the CMS telehealth indicator.

19% of these 84 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OR C4996
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Robert Drescher

Physician Assistant - Medical

NPI 1942645494
Fred Garnica

Physician Assistant - Medical

NPI 1578933123
Chloe Griffith

Nurse Practitioner - Psychiatric/Mental Health

NPI 1205348414
Tamara Houston , PA-C

Physician Assistant

NPI 1497172761

Physician Assistant (Certified)

Jeff Hunter

Physician Assistant

NPI 1306316138
Sunny Kim

Psychiatry & Neurology - Psychiatry

NPI 1902003080

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2021

Counselor (license number reported to NPPES: OR C4996)

πŸ“
Updated Practice Location August 07, 2019

Registered at 503 AIRPORT RD STE 102, MEDFORD, OR 975044159 (Tel: 5412002900)

πŸ“
Updated Practice Location April 11, 2018

Registered at 100 E MAIN ST STE C, MEDFORD, OR 975016041 (Tel: 5412002900)

πŸ“
Updated Business Mailing Address April 11, 2018

Registered at 3587 HEATHROW WAY, MEDFORD, OR 975044004 (Tel: 5418588170)

πŸ‘€
Provider Name / Credentials Updated April 11, 2018

Recorded as SUSANNAH BISHOP

βœ…
NPI Profile Active May 13, 2010

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 13, 2010

Registered at 1836 FREMONT ST, ASHLAND, OR 975202537 (Tel: 5414825792)

πŸ“
Business Mailing Address (Initial Record) May 13, 2010

Registered at 1836 FREMONT ST, ASHLAND, OR 975202537 (Tel: 5414825792)

πŸ‘€
Provider Name / Credentials (Initial Record) May 13, 2010

Recorded as SUSANNAH BISHOP, BA, BS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2010

Counselor

🟒
Initial NPI Registration & Enumeration May 13, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1811215924
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 13, 2010
Last Update: February 23, 2021
Sole Proprietor: No

Mailing Address

3587 Heathrow Way

Medford, OR 975044004

Phone: 5418588170

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.