Steven James Blackthorne, M.D.
Individual provider Active NPI Emergency Medicine Physician · Seaside, OR
NPI 1013985449 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1013985449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- MD 04851 (OR)
- Practice address
- 725 S Wahanna Rd
Seaside, OR 97138-7735 - Phone
- (503) 717-7000
- NPI assigned
- Mar 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 12
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Oregon Health Sciences University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Providence Health and Services Oregon
Practice addresses (Care Compare)
725 S Wahanna Rd
Seaside, OR 97138-7735
Phone (503) 717-7000
Hospital & facility affiliations
- Providence Seaside Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.44 of 100
- Quality
- 87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.18
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041018000358 | OR | Practitioner - Emergency Medicine |
0446210157 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 04851 | OR | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Oregon | Current |
Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current |
Accepting new patients | |
| Kayenta Alternative Rural Hospital | Past | Accepting new patients | |
| West Valley Hospital Pharmacy | Past | Accepting new patients | |
| Columbia Lutheran Charities | Past | Accepting new patients | |
| Salem Radiology Consultants PC | Past | Accepting new patients | |
| Columbia Lutheran Charities | Past | Accepting new patients | |
| Salem Health West Valley | Past |
Accepting new patients |
Locations
725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000
Interoperability endpoints
- sblackthorne126762@oc.providencedirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD 04851 | OR | Yes |
Addresses
Primary practice location
725 S Wahanna Rd
Seaside, OR 97138-7735
Mailing address
725 S Wahanna Rd
Seaside, OR 97138-7735
Phone (503) 717-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD 04851 | Other | OR | MEDICAL LICENSE |
| 068957 | Medicaid | OR |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sblackthorne126762@oc.providencedirect.org |
Other providers in Seaside, OR
- Monte L. Baumgartner
- Christopher James Beeman
- Nicole Benthin
- Alfred Brooke Benz
- Adam Lloyd Bingham
- Katherine Bode
- Ingrid Marie Boettcher
- Trista Demarie Boudon
- Anna Marie Bovee
- Amber Bowman
All providers in Seaside, OR · Emergency Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.