Active NPI
Steven L. Pailet, D.O.
- Anesthesiology Physician
- Portland, OR
National Provider Identifier
1114964715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- DO27809
- Practice address
- 707 SW Washington St
Ste 700
Portland, OR 97205-3536 - Phone
- (503) 299-9906
- Fax
- (503) 225-9002
- NPI assigned
- Jun 1, 2006
- Last updated
- Sep 10, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 8786 | MT | |
| Anesthesiology Physician | 207L00000X | DO27809 | OR | Primary |
Addresses
Primary practice location
707 SW Washington St
Ste 700
Portland, OR 97205-3536
Mailing address
PO Box 2040
Portland, OR 97208-2040
Phone (503) 299-9906
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00602296 | Other | OR | RR MEDICARE |
| 0020468 | Medicaid | MT | |
| 8496952 | Medicaid | WA |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8786 | MT | MD | Anesthesiology Physician |
| DO27809 | OR | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gallatin Valley Anesthesia Associates PC | Anesthesiology | Past | Accepting new patients |
| Intercity Radiology, PC | Past | Accepting new patients | |
| Oag Trauma Services LLC | Anesthesiology | Past | Accepting new patients |
| Steven Pailet, DO PC | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Bozeman, MT
- NPI 1992744858
-
- Anesthesiology Physician
- Portland, OR
- NPI 1548669948
-
- Anesthesiology Physician
- Bozeman, MT
- NPI 1336165182
-
- Specialist
- Bozeman, MT
- NPI 1356390736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378771200000",
"number": "1114964715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2040",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972082040",
"telephone_number": "503-299-9906",
"fax_number": "503-225-9002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 SW WASHINGTON ST",
"address_2": "STE 700",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972053536",
"telephone_number": "503-299-9906",
"fax_number": "503-225-9002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAILET",
"first_name": "STEVEN",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2013-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MT",
"license": "8786",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OR",
"license": "DO27809",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00602296",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0020468",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8496952",
"state": "WA"
}
],
"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 Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.