Emma Claire Ordway, PA-C

Key facts

NPI

1043879562

Entity type

Individual (NPI type 1)

Primary specialty

Medical Physician Assistant 363AM0700X

License

PA215062 (OR)

Practice address

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Phone

(503) 494-7327

Fax

(503) 418-6718

NPI assigned

Jun 8, 2019

Sex

Female

Sole proprietor

No

Organizations & group practices 7

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.

• University Professional Services General Practice Physician · Portland, OR · NPI 1376709535
  Medicare reassignment Care Compare group OR
• University Professional Services Pharmacy · Beaverton, OR · NPI 1073054714
  Care Compare group NPD
• The Vancouver Clinic Inc PS Internal Medicine Physician · Vancouver, WA · NPI 1992759427
  Medicare reassignment NPD (past) WA
• University Professional Services Clinic/Center · Vancouver, WA · NPI 1881848307
  Care Compare group
• University Professional Services Multi-Specialty Clinic/Center · Portland, OR · NPI 1073767588
  NPD
• The Vancouver Clinic Inc PS Ambulatory Surgical Clinic/Center · Vancouver, WA · NPI 1306556907
  NPD
• The Vancouver Clinic Inc PS Eyewear Supplier · Ridgefield, WA · NPI 1760004477
  NPD

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Oregon Health & Science University General Acute Care Hospital · Portland, OR · NPI 1609824010
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Professional Services (1,683 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ohsu Hospital and Clinics Hospital · Portland, OR · CCN 380009

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in WA, OR

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eordway164405@direct.ohsu.edu

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 6, 2023.

{
    "created_epoch": "1559952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1043879562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-7327",
            "fax_number": "503-418-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-7327",
            "fax_number": "503-418-6718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 NE 87th Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986644896",
            "country_code": "US",
            "telephone_number": "503-432-6662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORDWAY",
        "first_name": "EMMA",
        "middle_name": "CLAIRE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-08",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60971053",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA215062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2136167",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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