Provider Demographics
NPI:1811962400
Name:RINKOFF, JEFFREY S (MD)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:S
Last Name:RINKOFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:748 STATE ST
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504-8473
Mailing Address - Country:US
Mailing Address - Phone:541-842-2020
Mailing Address - Fax:541-842-2022
Practice Address - Street 1:748 STATE ST
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-8473
Practice Address - Country:US
Practice Address - Phone:541-842-2020
Practice Address - Fax:541-842-2022
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC50167207W00000X
ORMD20214207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
084319OtherOMAP
CAZZZ24340ZMedicaid
ORYPY189802Medicaid
BR0309826OtherDEA
ORYPY189802Medicaid
B40775Medicare UPIN
ORR114211Medicare UPIN