OrganizationActive
Joseph L. Petrusek, M.D., P.C.
NPI 1164553285 · Otolaryngology Physician · La Grande, OR
Provider details
- NPI number
- 1164553285
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joseph Petrusek, Owner(541) 963-8643
- License
- MD09444 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 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
710 Sunset Dr
Ste. D
La Grande, OR 97850-1200
Phone: (541) 963-8643
Fax: (541) 963-5845
Street-level locationGet directions
Mailing address
710 Sunset Dr
La Grande, OR 97850-1200
Registry dates
- Enumerated
- 2007-03-08
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.