STEPHEN ARTHUR BACK MD
NPI 1356358287
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Portland, OR
NPI Status: Active since August 02, 2006
Contact Information
3181 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239
Phone: (503) 494-5856
- Individual
- Male
- Psychiatry & Neurology
- Neurology with Special Qualifications in...
- Accepts Insurance
About STEPHEN BACK
This page provides the complete NPI Profile along with additional information for Stephen Back, a provider established in Portland, Oregon with a medical specialization in Psychiatry & Neurology, focusing in neurology with special qualifications in child neurology . The healthcare provider is registered in the NPI registry with number 1356358287 assigned on August 2006. The practitioner's primary taxonomy code is 2084N0402X with license number MD21910 (OR). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1356358287
- Provider Name
- STEPHEN ARTHUR BACK MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3181 SW SAM JACKSON PARK RD PORTLAND, OR 97239
- Location Phone
- (503) 494-5856
- Mailing Address
- 20 GROUSE TER LAKE OSWEGO, OR 97035
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-02-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
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
Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology
- Taxonomy Code
- 2084N0402X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD21910
- License State
- OR
- Taxonomy Description
- A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- Moda Health Affinity Bronze 7750 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Navigator Bronze 7000 Exchange - PPO
- Navigator Bronze 9200 - PPO
- Navigator Bronze HSA 8050 - PPO
- Navigator Gold 1500 - PPO
- Navigator Gold 1500 Exchange - PPO
- Navigator Gold 500 Exchange - PPO
- Navigator Silver 3500 Exchange - PPO
- Navigator Silver 4000 Exchange - PPO
- Navigator Silver 5000 - PPO
- Navigator Silver HSA 3500 - PPO
- Connect 1500 Gold - EPO
- Connect 5000 Silver - EPO
- Connect 9200 Bronze - EPO
- HSA Qualified 7100 Bronze - Signature Network - EPO
- HSA Qualified 7100 Bronze - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
- Bronze HSA 7000 Individual and Family Network - EPO
- Gold 2300 Individual and Family Network - EPO
- Regence Standard Bronze Plan Individual and Family Network - EPO
- Regence Standard Gold Plan Individual and Family Network - EPO
- Regence Standard Silver Plan Individual and Family Network - EPO
- Silver 6200 Individual and Family Network - EPO
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.
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 |
|---|---|---|---|
| H00564 | MEDICARE UPIN (02) | ||
| 134084 | MEDICAID (05) | OR |
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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. | |||||||||
| 1 | 3 | 5 | 6 | 3 | 5 | 8 | 2 | 8 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 10 | 6 | 6 | 5 | 16 | 2 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 0 + 6 + 6 + 5 + 1 + 6 + 2 + 1 + 6 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1356358287 is valid because the calculated check digit 7 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 |
|---|---|---|---|
| 1972506301 | JERRIS ROBERT HEDGES MD, MS, MMM Individual | Emergency Medicine | 3181 SW SAM JACKSON PARK RD # L-102 PORTLAND, OR 97239 (503) 494-2767 |
| 1720082357 | DR. BRANDON ZANE HOROWITZ M.D. Individual | Emergency Medicine | 3181 SW SAM JACKSON PARK RD PORTLAND, OR 97239 (503) 494-4833 |
| 1770587222 | MARY ANN BROWNING FNP Individual | Nurse Practitioner (Family) | 3181 SW SAM JACKSON PARK RD CDW-EM PORTLAND, OR 97239 (503) 494-7500 |
| 1427052166 | DR. ROBERT AUGUSTUS LOWE MD, MPH Individual | Emergency Medicine | 3181 SW SAM JACKSON PARK RD PORTLAND, OR 97239 (503) 494-7134 |
| 1629073895 | DR. MOHAMUD RAMZANALI DAYA MD, M S Individual | Emergency Medicine | 3181 SW SAM JACKSON PARK RD MAILCODE CDW-EM PORTLAND, OR 97239 (503) 494-7248 |
| 1720083991 | DR. RITU SAHNI MD Individual | Emergency Medicine | 3181 SW SAM JACKSON PARK RD # CDW PORTLAND, OR 97239 (503) 494-7500 |
| 1336144450 | DR. ALFREDO SABBAJ MD Individual | Emergency Medicine | 3181 SW SAM JACKSON PARK RD MAIL CODE: CDW-EM PORTLAND, OR 97239 (503) 494-1475 |
| 1467457192 | ROBERT G HENDRICKSON MD Individual | Emergency Medicine (Medical Toxicology) | 3181 SW SAM JACKSON PARK RD PORTLAND, OR 97239 (503) 494-9495 |
| 1912907908 | DR. JONATHAN JUI M.D. Individual | Emergency Medicine | 3181 SW SAM JACKSON PARK RD PORTLAND, OR 97239 (503) 494-7500 |
| 1013918267 | DR. JAMES CHRISTOPHER AUSTIN MD Individual | Urology (Pediatric Urology) | 3181 SW SAM JACKSON PARK RD PEDIATRIC UROLOGY CDW-6 PORTLAND, OR 97239 (503) 494-4808 |
| 1285626507 | JENNIFER R ANTICK PHD Individual | Psychologist (Clinical) | 3181 SW SAM JACKSON PARK RD UHN 80 PORTLAND, OR 97239 (503) 494-7353 |
| 1043206279 | MS. MICHELE PATRICIA MEGREGIAN CNM Individual | Advanced Practice Midwife | 3181 SW SAM JACKSON PARK RD KPV7C PORTLAND, OR 97239 (503) 418-4500 |
| 1285615781 | SUSAN ROWELL M.D. Individual | Surgery (Trauma Surgery) | 3181 SW SAM JACKSON PARK RD L611 PORTLAND, OR 97239 (503) 494-2400 |
| 1104809920 | DAVID MARK SPIRO MD Individual | Pediatrics (Pediatric Emergency Medicine) | 3181 SW SAM JACKSON PARK RD MAIL CODE CDW-EM PORTLAND, OR 97239 (503) 494-0828 |
| 1457337123 | MR. PETER CHORDAS FNP-C Individual | Nurse Practitioner | 3181 SW SAM JACKSON PARK RD PORTLAND, OR 97239 (503) 494-1368 |
| 1174509897 | DR. PASCALE M SCHWAB M.D. Individual | Internal Medicine (Rheumatology) | 3181 SW SAM JACKSON PARK RD OP09 PORTLAND, OR 97239 (503) 494-8963 |
| 1104896786 | DR. STEVEN JOHN SKOOG Individual | Urology (Pediatric Urology) | 3181 SW SAM JACKSON PARK RD CDW6 PORTLAND, OR 97239 (503) 494-4808 |
| 1760456925 | DR. CRAIGAN TODD USHER MD Individual | Psychiatry & Neurology (Psychiatry) | 3181 SW SAM JACKSON PARK RD MAIL CODE DC7P PORTLAND, OR 97239 (503) 418-5775 |
| 1093780769 | DR. NORMAN A. COHEN MD Individual | Anesthesiology | 3181 SW SAM JACKSON PARK RD UHS-2 PORTLAND, OR 97239 (503) 494-7641 |
| 1285609917 | DR. DAWN LYNN NOLT MD Individual | Pediatrics (Pediatric Infectious Diseases) | 3181 SW SAM JACKSON PARK RD PORTLAND, OR 97239 (503) 494-9690 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356358287, enumerated in the NPI registry as an "individual" on August 02, 2006
The provider is located at 3181 Sw Sam Jackson Park Rd Portland, Or 97239 and the phone number is (503) 494-5856
The provider's speciality is Psychiatry & Neurology with taxonomy code 2084N0402X with a focus in Neurology with Special Qualifications in Child Neurology
The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. 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 August 02, 2006. 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.