Individual provider Active NPI

James Douglas Fearl, JAMES FEARL

  • Obstetrics & Gynecology Physician
  • Portland, OR
National Provider Identifier
1114253606
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
66688 Issued in OR
Practice address
15198 NW Troon Way
Portland, OR 97229-0931
Phone
(503) 466-2988
NPI assigned
Oct 19, 2009
Last updated
Oct 19, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 66688 OR Primary

Addresses

Primary practice location

15198 NW Troon Way
Portland, OR 97229-0931

Mailing address

15198 NW Troon Way
Portland, OR 97229-0931
Phone (503) 466-2988

Other names 1

  • Dr. James Douglas Fearl Professional name

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

State licenses

LicenseStateTypeSpecialty
66688ORMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255910400000",
    "number": "1114253606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15198 NW TROON WAY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972290931",
            "telephone_number": "503-466-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15198 NW TROON WAY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972290931",
            "telephone_number": "503-466-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEARL",
        "first_name": "JAMES",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "JAMES FEARL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "66688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "FEARL",
            "middle_name": "DOUGLAS",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Oct 19, 2009; 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.