PROVIDENCE MEDICAL GROUP
NPI 1326272741
Clinic/Center in Portland, OR

NPI Status: Active since May 13, 2009

Contact Information

5050 NE HOYT ST
SUITE 155
PORTLAND, OR
ZIP 97213
Phone: (503) 215-6879

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  • Organization
  • Clinic/Center

About PROVIDENCE MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Providence Medical Group, a provider established in Portland, Oregon operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1326272741 assigned on May 2009. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Providence Medical Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Providence Medical Group. The authorized official of this NPI record is Mr. Donald W Anderson Jr. (Asst Sec Enroll/evp)

NPI
1326272741
Provider Legal Name
PROVIDENCE HEALTH & SERVICES - OREGON
Other Organization Name
PROVIDENCE MEDICAL GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5050 NE HOYT ST SUITE 155 PORTLAND, OR 97213
Location Phone
(503) 215-6879
Mailing Address
PO BOX 3158 PORTLAND, OR 97208
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-13-2009
Last Update Date
06-07-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RR0500XAllopathic & Osteopathic Physicians

Internal Medicine
Rheumatology

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DONALD W ANDERSON JR.

Authorized Official Title
ASST SEC ENROLL/EVP
Authorized Official Phone
(425) 525-5392

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
210638MEDICAID (05)OR 

Reviews for PROVIDENCE MEDICAL GROUP

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1326272741
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
234647478
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 4 + 6 + 4 + 7 + 4 + 7 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1326272741 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1558364570 BRUCE WILSON DANA M.D.
Individual
Internal Medicine (Medical Oncology)5050 NE HOYT ST STE 256
PORTLAND, OR 97213
(503) 239-7767
1922001692DR. REBECCA LYNN ORWOLL M.D.
Individual
Internal Medicine (Hematology)5050 NE HOYT ST STE 256
PORTLAND, OR 97213
(503) 239-7767
1871596551DR. JEFFREY IRVING MENASHE M.D.
Individual
Internal Medicine (Hematology & Oncology)5050 NE HOYT ST STE 256
PORTLAND, OR 97213
(503) 239-7767
1053314633DR. EDWARD WEILIE SOO M.D.
Individual
Internal Medicine (Medical Oncology)5050 NE HOYT ST STE 256
PORTLAND, OR 97213
(503) 239-7767
1467455014 WILLIAM M MOONEY M.D.
Individual
Internal Medicine (Hematology & Oncology)5050 NE HOYT ST STE 362
PORTLAND, OR 97213
(503) 232-7000
1528061173 MARK SELIGMAN M.D.
Individual
Internal Medicine (Hematology & Oncology)5050 NE HOYT ST STE 362
PORTLAND, OR 97213
(503) 232-7000
1427051077DR. JOHN WASHBURN SMITH II M.D.
Individual
Internal Medicine (Medical Oncology)5050 NE HOYT ST STE 256
PORTLAND, OR 97213
(503) 239-7767
1154327658PORTLAND SURGICAL ONCOLOGY, PC
Organization
Surgery5050 NE HOYT ST STE 317
PORTLAND, OR 97213
(503) 239-0092
1104824648 MICHAEL BRUCE WYMAN M.D.
Individual
Specialist5050 NE HOYT ST SUITE 340
PORTLAND, OR 97213
(503) 234-9861
1982602421 ROBERT TODD DIXON P.A.
Individual
Physician Assistant (Medical)5050 NE HOYT ST
PORTLAND, OR 97213
(503) 234-9861
1558361808 ROBERT GOLD MD
Individual
Psychiatry & Neurology (Psychiatry)5050 NE HOYT ST STE 522
PORTLAND, OR 97213
(503) 236-4343
1255324596 ROBERT ALAN ROSENBAUM MD
Individual
Psychiatry & Neurology (Neurology)5050 NE HOYT ST SUITE 315
PORTLAND, OR 97213
(503) 963-3100
1942298187 NANCY ANN CUROSH MD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)5050 NE HOYT ST SUITE 234
PORTLAND, OR 97213
(503) 238-2941
1730160516 ROBERT ALLAN SAMPSON DPM
Individual
Podiatrist5050 NE HOYT ST STE 235
PORTLAND, OR 97213
(503) 408-1102
1275515041 PATRICIA ANN BURFORD MD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)5050 NE HOYT ST #414
PORTLAND, OR 97213
(503) 445-8080
1467434209EYE HEALTH NORTHWEST OPTICAL, LLC
Organization
Eyewear Supplier5050 NE HOYT ST SUITE 200
PORTLAND, OR 97213
(503) 255-2291
1649253626 LINDA S BEALE MD
Individual
Physical Medicine & Rehabilitation5050 NE HOYT ST NUMBER 353
PORTLAND, OR 97213
(503) 230-2833
1639152465 ROBERT J LAIRD MD
Individual
Ophthalmology5050 NE HOYT ST STE 445
PORTLAND, OR 97213
(503) 231-0166
1730163833DR. GREGG REITER PHD
Individual
Clinical Neuropsychologist5050 NE HOYT ST STE 422
PORTLAND, OR 97213
(503) 236-4343
1326022989DR. THOMAS FRANCIS FLYNN MD
Individual
Psychiatry & Neurology (Psychiatry)5050 NE HOYT ST STE 422
PORTLAND, OR 97213
(503) 236-4343

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326272741, enumerated in the NPI registry as an "organization" on May 13, 2009

The provider is located at 5050 Ne Hoyt St Suite 155 Portland, Or 97213 and the phone number is (503) 215-6879

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 13, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.