Northwest Primary Care Group PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NORTHWEST PRIMARY CARE GROUP PC

Practice address

10024 SE 32ND Ave
Milwaukie, OR 97222-6514

Phone

(503) 659-4988

Fax

(503) 654-5666

NPI assigned

Jul 27, 2006

Last updated

Jun 3, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Whitbeck

Title

Administrator

Phone

(503) 659-4777

Specialties & licenses 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Northwest Primary Care Group PC

  • Family Medicine Physician
  • Happy Valley, OR
  • NPI 1043230972

  O20040219000947

  Same enrollment
• Northwest Primary Care Group PC

  • Family Medicine Physician
  • Portland, OR
  • NPI 1144319658

  O20040219000947

  Same enrollment
• Northwest Primary Care Group PC

  • Family Medicine Physician
  • Milwaukie, OR
  • NPI 1801856737

  O20040219000947

  Same enrollment
• Northwest Primary Care Group PC

  dba Northwest Therapy

  • Physical Medicine & Rehabilitation Physician
  • Portland, OR
  • NPI 1922028869

  O20040219000947

  Same enrollment
• Northwest Primary Care Group, PC

  • Family Medicine Physician
  • Milwaukie, OR
  • NPI 1558572180

  O20040219000947

  Same enrollment

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1083638589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22075",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972692075",
            "telephone_number": "503-659-4777",
            "fax_number": "503-652-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10024 SE 32ND AVE",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226514",
            "telephone_number": "503-659-4988",
            "fax_number": "503-654-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PRIMARY CARE GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "WHITBECK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "503-659-4777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "38D0624596",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GROUP PTAN",
            "identifier": "CE8055",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230426",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northwest ENT, Allergy and Sleep Associates, LLC
• Northwest Extremity Specialists LLC
• Northwest Housing Alternatives
• Northwest Natural Medicine, LLC
• Northwest Neurology Clinic
• Northwest Primary Care Group PC
• Northwest Primary Care Group, PC
• Keith Randal Norton, DDS
• Nova Radiology, P.C
• Minoo -- Nowak, R.PH., CGP

• Internal Medicine Physician in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.