Active NPI
Paul M Puziss, M.D.
- Orthopaedic Surgery Physician
- Beaverton, OR
National Provider Identifier
1023291374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 11897
- Practice address
- 3800 SW Cedar Hills Blvd Ste 250
Beaverton, OR 97005-4760 - Phone
- (503) 646-8995
- Fax
- (503) 644-4678
- NPI assigned
- Dec 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 11897 | OR | Primary |
Addresses
Primary practice location
3800 SW Cedar Hills Blvd Ste 250
Beaverton, OR 97005-4760
Mailing address
3800 SW Cedar Hills Blvd Ste 250
Beaverton, OR 97005-4760
Phone (503) 646-8995
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0022446 | Other | WA | WA DEPT LABOR & INDUSTRY |
| 058412 | Medicaid | OR | |
| 194400600 | Other | WA | OWCP |
| 000573000 | Other | OR | REGENCE BCBS |
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 Compare- Specialty
- Orthopedic Surgery
- Education
- University of Washington School of Medicine, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3800 SW Cedar Hills Blvd
Suite 250
Beaverton, OR 97005-4760
Phone 5035268814106
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11897 | OR | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul M Puziss MD PC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
3800 SW Cedar Hills Blvd
Ste 250
Beaverton, OR 97005
Phone (503) 526-8814
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Beaverton, OR
- NPI 1477566974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450224000000",
"number": "1023291374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 SW CEDAR HILLS BLVD STE 250",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970054760",
"telephone_number": "503-646-8995",
"fax_number": "503-644-4678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 SW CEDAR HILLS BLVD STE 250",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970054760",
"telephone_number": "503-646-8995",
"fax_number": "503-644-4678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUZISS",
"first_name": "PAUL",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-10",
"last_updated": "2015-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OR",
"license": "11897",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA DEPT LABOR & INDUSTRY",
"identifier": "0022446",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "058412",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OWCP",
"identifier": "194400600",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BCBS",
"identifier": "000573000",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.