Active NPI
Adam James Heisinger, D.O.
- Orthopaedic Surgery Physician
- Tigard, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- DO187093
- Practice address
- 7300 SW Childs Rd Ste B
Tigard, OR 97224-7772 - Phone
- (503) 692-8700
- NPI assigned
- Mar 3, 2009
- Last updated
- Dec 19, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 58-002720 | OH | |
| Orthopaedic Surgery Physician | 207X00000X | 0102202485 | VA | |
| Orthopaedic Surgery Physician | 207X00000X | DO187093 | OR | Primary |
Addresses
Primary practice location
7300 SW Childs Rd Ste B
Tigard, OR 97224-7772
Mailing address
PO Box 3290
La Grande, OR 97850-7290
Phone (541) 963-8421
Other practice location 1
2952 Veterans Blvd SE
Massillon, OH 44646-9611
Phone (330) 832-8761
Other practice location 2
1501 Maple Ave Ste 200
Richmond, VA 23226-2553
Phone (804) 285-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
29345 SW Town Ctr Loop E
Suite 211
Wilsonville, OR 97070-8486
Phone (503) 692-8700
7300 SW Childs Rd
Suite B
Tigard, OR 97224-7772
Phone (503) 692-8700
Hospital & facility affiliations
- Legacy Meridian Park Medical Center
- Providence Willamette Falls Medical Center
- Providence St Vincent Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 14 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 30 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58-002720 | OH | MD | Orthopaedic Surgery Physician |
| DO187093 | OR | MD | Orthopaedic Surgery Physician |
| 0102202485 | VA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Outpatient Surgery Center LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Ambulatory Surgical Clinic/Center
- Tigard, OR
- NPI 1073545299
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tualatin, OR
- NPI 1184647620
-
dba Providence St Vincent Medical Center
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
-
dba Providence Medical Group
- Clinic/Center
- Portland, OR
- NPI 1326272741
Hospital
-
dba Providence Willamette Falls Medical Center
- General Acute Care Hospital
- Oregon City, OR
- NPI 1912282369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734566400000",
"number": "1144460296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3290",
"city": "LA GRANDE",
"state": "OR",
"postal_code": "978507290",
"telephone_number": "541-963-8421",
"fax_number": "541-963-1476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 SW CHILDS RD STE B",
"city": "TIGARD",
"state": "OR",
"postal_code": "972247772",
"telephone_number": "503-692-8700"
}
],
"practiceLocations": [
{
"address_1": "2952 Veterans Blvd SE",
"address_purpose": "LOCATION",
"city": "Massillon",
"state": "OH",
"postal_code": "446469611",
"country_code": "US",
"telephone_number": "330-832-8761",
"fax_number": "330-834-4786",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1501 Maple Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232262553",
"country_code": "US",
"telephone_number": "804-285-2300",
"fax_number": "804-288-8240",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEISINGER",
"first_name": "ADAM",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-03",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OH",
"license": "58-002720",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "VA",
"license": "0102202485",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OR",
"license": "DO187093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.