Oregon Outpatient Anesthesia Associates LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

OREGON OUTPATIENT ANESTHESIA ASSOCIATES LLC

Practice address

4409 SW Carl PL
Portland, OR 97239-1518

Phone

(316) 685-2371

NPI assigned

Aug 30, 2023

Organization subpart

No

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

Authorized official

Name

John McCrearyNPI 1275556664

Title

MD

Phone

(971) 404-6824

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 4

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

• John C McCreary, MD

  • Anesthesiology Physician
  • Portland, OR
  • NPI 1275556664
  Medicare reassignment NPD Authorized official
• Melissa Duan, MD

  • Anesthesiology Physician
  • Portland, OR
  • NPI 1528226230
  Medicare reassignment NPD
• Jessica E Irwin, DMD

  • Pediatric Dentistry
  • Portland, OR
  • NPI 1730511148
  NPD (past)
• Edward Peer Pham, DMD

  • Pediatric Dentistry
  • Hillsboro, OR
  • NPI 1518608603
  NPD (past)

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1083499727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4409 SW CARL PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972391518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4409 SW CARL PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972391518",
            "telephone_number": "316-685-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON OUTPATIENT ANESTHESIA ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "MCCREARY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "971-404-6824"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oregon Limb & Brace LLC
• Oregon MD Alliance LLC
• Oregon Medical Evaluations, Inc.
• Oregon Medical Specialists PC
• Oregon Natural Medicine, LLC
• Oregon Outreach Inc
• Oregon Pain Clinic, LLC
• Oregon Pediatrics NE Portland PC
• Oregon Pedorthic Services
• Oregon Pedorthic Services Inc

• Anesthesiology Physician in Portland, OR
• Providers in Portland, OR by specialty
• Anesthesiology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.