Jamie Cobb, CRNA

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

91006605RN Issued in OR

Practice address

1001 Providence Drive
Newberg, OR 97132

Phone

(503) 537-1761

Fax

(503) 537-1819

NPI assigned

Mar 21, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Anesthesia Associates Northwest LLC

  • Anesthesiology Physician
  • Milwaukie, OR
  • NPI 1548281751
  Medicare reassignment NPD

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206057600000",
    "number": "1124299771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 PROVIDENCE DRIVE",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "97132",
            "telephone_number": "503-537-1761",
            "fax_number": "503-537-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PROVIDENCE DRIVE",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "97132",
            "telephone_number": "503-537-1761",
            "fax_number": "503-537-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "JAMIE",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-21",
        "last_updated": "2008-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OR",
            "license": "91006605RN",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Newberg
• Yanyan Claflin
• Shelby Lyne Clarke, M.A
• David Clemans, RNFA
• Clover Clinic Community Services
• John J. Collins, DC
• Columbia Cardiology Associates LTD
• Ana Colunga, MA
• Comfort Counseling LLC
• Deanne Lou Comfort, MA

• Anesthesiology Physician in Newberg, OR
• Providers in Newberg, OR by specialty
• Anesthesiology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; 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.