NPIMap

Organization Active NPI

James P. Nealon, MD, PC

  • Surgery Physician
  • Silverton, OR
National Provider Identifier
1033540927
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
23140 Issued in OR
Legal business name
JAMES P. NEALON, MD, PC
Practice address
450 Welch St
Silverton, OR 97381-1934
Phone
(503) 874-0574
Fax
(503) 874-0575
NPI assigned
Dec 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James P Nealon, MDNPI 1225025992
Title
Owner
Phone
(503) 874-0574

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 23140 OR Primary

Addresses

Primary practice location

450 Welch St
Silverton, OR 97381-1934

Mailing address

450 Welch St
Silverton, OR 97381-1934
Phone (503) 874-0574

Other names 1

  • James P. Nealon, MD, FACS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160323001040 OR Part B Supplier - Clinic/Group Practice 8729385497 Receives reassigned benefits from 3 practitioners
Practice locations: Silverton, OR

National Provider Directory

National Provider Directory

Locations

333 Fairview St
Silverton, OR 97381
Phone (503) 873-2770

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1033540927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 WELCH ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973811934",
            "telephone_number": "503-874-0574",
            "fax_number": "503-874-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 WELCH ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973811934",
            "telephone_number": "503-874-0574",
            "fax_number": "503-874-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES P. NEALON, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "NEALON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-874-0574",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OR",
            "license": "23140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James P. Nealon, MD, FACS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "James P. Nealon, MD, FACS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.