Provider Demographics
NPI:1982694873
Name:GELL, JON (MD)
Entity Type:Individual
Prefix:MR
First Name:JON
Middle Name:
Last Name:GELL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2640 E BARNETT ROAD
Mailing Address - Street 2:#E-333 SOUTHERN OREGON HOSPITALISTS, PC
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504
Mailing Address - Country:US
Mailing Address - Phone:541-282-6770
Mailing Address - Fax:541-282-6771
Practice Address - Street 1:2825 E BARNETT ROAD
Practice Address - Street 2:ROGUE VALLEY MEDICAL CENTER
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504
Practice Address - Country:US
Practice Address - Phone:541-789-7000
Practice Address - Fax:541-664-5155
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2011-06-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ORMD12323207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR114140Medicaid
OR114140Medicaid
ORR131016Medicare PIN