Individual provider Active NPI

Graham Isaac Starr, PA-C

  • Physician Assistant
  • Newberg, OR
National Provider Identifier
1063248979
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA222965 Issued in OR
Practice address
2251 E Hancock St Ste 103
Newberg, OR 97132-2145
Phone
(971) 281-3000
NPI assigned
Sep 9, 2024
Last updated
Oct 29, 2024By the provider in NPPES
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA222965 OR Primary

Addresses

Primary practice location

2251 E Hancock St Ste 103
Newberg, OR 97132-2145

Mailing address

2251 E Hancock St Ste 103
Newberg, OR 97132-2145

Other practice location 1

900 NE 10th St
Oklahoma City, OK 73104-5420
Phone (405) 271-2058

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260206001446 OR Practitioner - Physician Assistant 0143709402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Oklahoma College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2251 E Hancock St
Suite 100
Newberg, OR 97132-2145
Phone (971) 281-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA222965ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Garcia Memorial Health Center CurrentSince Dec 23, 2025 Accepting new patients
Virginia Garcia Memorial Health Center CurrentSince Dec 23, 2025 Accepting new patients
Virginia Garcia Memorial Health Center PastSince Nov 3, 2024 Accepting new patients

Locations

2725 SW Cedar Hills Blvd
Ste 200
Beaverton, OR 97005
Phone (503) 352-6000

627 NE Evans St
McMinnville, OR 97128
Phone (503) 434-7527

2251 E Hancock St
Ste 100
Newberg, OR 97132
Phone (971) 281-3000

2251 E Hancock St
Ste 103
Newberg, OR 97132
Phone (971) 281-3000

Interoperability endpoints

  • Direct secure messaging: gstarr770607@direct.ochin.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1063248979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 E HANCOCK ST STE 103",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971322145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 E HANCOCK ST STE 103",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971322145",
            "telephone_number": "971-281-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 NE 10th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045420",
            "country_code": "US",
            "telephone_number": "405-271-2058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STARR",
        "first_name": "GRAHAM",
        "middle_name": "ISAAC",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "U",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA222965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberg, OR

Sources for this page

Verify at the official NPI Registry.