Individual provider Active NPI

Brian Thomas Paskowski, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Portland, OR
National Provider Identifier
1083648984
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
ME82939 Issued in FL
Practice address
15285 NW Central Dr
Portland, OR 97229-0973
Phone
(503) 216-9060
Fax
(503) 216-9099
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X ME82939 FL Primary
Family Medicine Physician 207Q00000X MD126278 OR

Addresses

Primary practice location

15285 NW Central Dr
Portland, OR 97229-0973

Mailing address

PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494

Other identifiers 1

IdentifierTypeStateIssuer
500616009MedicaidOR

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD126278ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Physicians of Palmetto Bay LLC Emergency Medical Services PastSince Mar 26, 2023 Accepting new patients
Urgent Care Physicians of Westchester LLC Emergency Medical Services PastSince Mar 26, 2023 Accepting new patients
Criticare Clinics Inc Past Accepting new patients
South Miami Criticare Inc. Past Accepting new patients
Urgent Care Physicians of Country Walk LLC Emergency Medical Services PastSince Mar 26, 2023 Accepting new patients
Urgent Care Physicians of West Kendall LLC Emergency Medical Services PastSince Mar 26, 2023 Accepting new patients
Urgent Care Physicians of Tamiami LLC Emergency Medical Services PastSince Mar 26, 2023 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334275200000",
    "number": "1083648984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158",
            "telephone_number": "503-215-6494",
            "fax_number": "503-215-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15285 NW CENTRAL DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972290973",
            "telephone_number": "503-216-9060",
            "fax_number": "503-216-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASKOWSKI",
        "first_name": "BRIAN",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2012-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "FL",
            "license": "ME82939",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD126278",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500616009",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.