OrganizationActive
Edgar Maeyens Jr MD PC
NPI 1043398159 · Specialist · Coos Bay, OR
Provider details
- NPI number
- 1043398159
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Edgar Maeyens, Doctor(541) 267-7543
- License
- MD08528 (OR)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
375 Park Ave
Suite 5
Coos Bay, OR 97420-2244
Phone: (541) 267-7543
Fax: (541) 267-2076
Street-level locationGet directions
Mailing address
375 Park Ave
Coos Bay, OR 97420-2244
Other names (DBA / former)
- Doing business as
- Park Avenue Dermatology Clinic
Registry dates
- Enumerated
- 2006-11-02
- Last updated
- 2008-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.