Active NPI
Karen Jeanne O'Neill, DO
- Emergency Medicine Physician
- Gresham, OR
National Provider Identifier
1003836230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- DO23147
- Practice address
- 24800 SE Stark St
Gresham, OR 97030-3378 - Phone
- (503) 674-1400
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | DO23147 | OR | Primary |
Addresses
Primary practice location
24800 SE Stark St
Gresham, OR 97030-3378
Mailing address
6312 SW Capitol Hwy # 502
Portland, OR 97239-1938
Phone (503) 464-9034
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 287408 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95 of 100
- Quality
- 83.34
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2993 | AZ | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| DO23147 | OR | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Oregon | Emergency Medicine | Current | Accepting new patients |
| Verde Valley Medical Center | Past | Accepting new patients | |
| Professional Pathology Associates, PC | Past | Accepting new patients | |
| Flagstaff Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
Locations
810 12th St
Hood River, OR 97031
Phone (541) 386-3911
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Pathology Physician
- Hood River, OR
- NPI 1053862714
Emergency Medicine
-
- Emergency Medicine Physician
- Flagstaff, AZ
- NPI 1073683991
-
- Specialist
- Flagstaff, AZ
- NPI 1417130949
-
- General Acute Care Hospital
- Cottonwood, AZ
- NPI 1346291648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003836230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6312 SW CAPITOL HWY # 502",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972391938",
"telephone_number": "503-464-9034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24800 SE STARK ST",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970303378",
"telephone_number": "503-674-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEILL",
"first_name": "KAREN",
"middle_name": "JEANNE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OR",
"license": "DO23147",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "287408",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.