Jordi X Kellogg MD PC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

MD22765 Issued in OR

Legal business name

JORDI X KELLOGG MD PC

Practice address

9200 SE 91St Ave
Suite 340
Portland, OR 97086-3756

Phone

(503) 256-1462

Fax

(503) 257-9523

NPI assigned

Oct 26, 2007

Organization subpart

No

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

Authorized official

Name

Jordi X Kellogg, MDNPI 1669415964

Title

Owner

Phone

(503) 256-1462

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 3

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

• Jordi X Kellogg, MD

  • Neurological Surgery Physician
  • Portland, OR
  • NPI 1669415964
  Medicare reassignment NPD Authorized official
• Omar J Gonzalez, PA-C

  • Surgical Physician Assistant
  • Renton, WA
  • NPI 1831412485

  OR

  Medicare reassignment
• Donald E Giles, M.D.

  • Surgery Physician
  • Portland, OR
  • NPI 1033170832
  NPD (past)

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1114106192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 SE 91ST AVE",
            "address_2": "SUITE 340",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "970863756",
            "telephone_number": "503-256-1462",
            "fax_number": "503-257-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 SE 91ST AVE",
            "address_2": "SUITE 340",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "970863756",
            "telephone_number": "503-256-1462",
            "fax_number": "503-257-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDI X KELLOGG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "KELLOGG",
        "authorized_official_first_name": "JORDI",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-256-1462",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "OR",
            "license": "MD22765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay B Jordan, OTA
• Madison Janara Jordan
• Simone Jordan
• Skye Jordan
• Teresa M. Jordan
• Julie Jorgensen, LCSW
• Kellen Jorgensen
• Kendall Cathleen Jorgensen, LCSW
• Nicholas Boyd Jorgensen, MD
• Joro Adult Foster Care Home LLC

• Neurological Surgery Physician in Portland, OR
• Providers in Portland, OR by specialty
• Neurological Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.