Organization Active NPI

Tower Oculofacial Plastic Surgery, PC

Doing business as Tower Plastics

  • Medical Specialty Clinic/Center
  • Portland, OR
National Provider Identifier
1043562325
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
MD24417 Issued in OR
Legal business name
TOWER OCULOFACIAL PLASTIC SURGERY, PC
Doing business as
Tower Plastics
Practice address
1211 NW Glisan St
Suite 201
Portland, OR 97209-3054
Phone
(503) 227-5075
Fax
(503) 241-2793
NPI assigned
Oct 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Authorized official

Name
Robert Neill Tower, M.D.NPI 1063512101
Title
President
Phone
(503) 227-5075

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
Medical Specialty Clinic/Center 261QM2500X MD24417 OR Primary

Addresses

Primary practice location

1211 NW Glisan St
Suite 201
Portland, OR 97209-3054

Mailing address

1211 NW Glisan St
Suite 201
Portland, OR 97209-3054
Phone (503) 227-5075

Other names 1

  • Tower Plastics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121012000667 OR Part B Supplier - Clinic/Group Practice 9537318290 Receives reassigned benefits from 1 practitioner
Practice locations: Portland, OR

National Provider Directory

National Provider Directory
Tax ID family
Tower Oculofacial Plastic Surgery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1211 NW Glisan St
Ste 201
Portland, OR 97209
Phone (503) 227-5075

Practitioners & affiliated clinicians

Practitioners 1

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": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1043562325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 NW GLISAN ST",
            "address_2": "SUITE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093054",
            "telephone_number": "503-227-5075",
            "fax_number": "503-241-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 NW GLISAN ST",
            "address_2": "SUITE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093054",
            "telephone_number": "503-227-5075",
            "fax_number": "503-241-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWER OCULOFACIAL PLASTIC SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-10",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "TOWER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "NEILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-227-5075",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OR",
            "license": "MD24417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tower Plastics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.