Active NPI
Brian Thomas Paskowski, MD
- Emergency Medical Services (Emergency Medicine) Physician
- Portland, OR
National Provider Identifier
1083648984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- ME82939
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500616009 | Medicaid | OR |
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD126278 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Care Physicians of Palmetto Bay LLC | Emergency Medical Services | Past | Accepting new patients |
| Urgent Care Physicians of Westchester LLC | Emergency Medical Services | Past | 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 | Past | Accepting new patients |
| Urgent Care Physicians of West Kendall LLC | Emergency Medical Services | Past | Accepting new patients |
| Urgent Care Physicians of Tamiami LLC | Emergency Medical Services | Past | 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.
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- Emergency Medicine Physician
- Miami Lakes, FL
- NPI 1508871948
-
- Emergency Medicine Physician
- South Miami, FL
- NPI 1306878210
-
- General Practice Physician
- Miami, FL
- NPI 1689838849
Emergency Medical Services
-
- General Practice Physician
- Palmetto Bay, FL
- NPI 1740403914
Emergency Medical Services
-
- General Practice Physician
- Miami, FL
- NPI 1639381965
Emergency Medical Services
-
- General Practice Physician
- Miami, FL
- NPI 1508989757
Emergency Medical Services
-
- General Practice Physician
- Miami, FL
- NPI 1992928162
Emergency Medical Services
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.