Active NPI
Donald R Noel, PA
- Surgical Physician Assistant
- Portland, OR
National Provider Identifier
1063612455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA00235
- Practice address
- 10101 SE Main St Ste 3008
Portland, OR 97216-2458 - Phone
- (503) 253-3268
- Fax
- (503) 253-1530
- NPI assigned
- Jul 23, 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA00235 | OR | Primary |
Addresses
Primary practice location
10101 SE Main St Ste 3008
Portland, OR 97216-2458
Mailing address
10101 SE Main St Ste 3008
Portland, OR 97216-2458
Phone (503) 253-3268
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4884260001 | Other | OR | MEDICARE DMERC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA00235 | OR | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Orthopedic and Sports Medicine Clinic LLP | Past | Accepting new patients | |
| Pearl Foot and Ankle LLC | Past | Accepting new patients | |
| Donald R Noel, PA | Surgical | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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 and National Provider Directory roles.
-
- Specialist
- Gresham, OR
- NPI 1598798365
-
- Surgical Physician Assistant
- Portland, OR
- NPI 1316147713
-
- Podiatrist
- Portland, OR
- NPI 1346008711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185148800000",
"number": "1063612455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10101 SE MAIN ST STE 3008",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162458",
"telephone_number": "503-253-3268",
"fax_number": "503-253-1530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10101 SE MAIN ST STE 3008",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162458",
"telephone_number": "503-253-3268",
"fax_number": "503-253-1530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOEL",
"first_name": "DONALD",
"middle_name": "R",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-23",
"last_updated": "2007-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "OR",
"license": "PA00235",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DMERC",
"identifier": "4884260001",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
- Christina Lorraine Nochisaki, LMT
- Sem Feilan Noctilier, PSS
- Desaray Raven Noe, MSW
- Kara Beth Noe, ND
- Noel Snodgrass LLC (Noel Snodgrass DC)
- Gordon Lee Noel, M.D.
- Michelle Burke Noelck, MD
- North James Noelck, M.D.
- Noelle Braddock, Licensed Professional Clinical Counselor, a Professional Corporation (Noelle Braddock Therapy)
- Abigail Noesi, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.