NPIMap

Organization Active NPI

Gastroenterology Specialists of Oregon PC

  • Gastroenterology Physician
  • Oregon City, OR
National Provider Identifier
1164464616
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GASTROENTEROLOGY SPECIALISTS OF OREGON PC
Practice address
1508 Division St
Suite 15
Oregon City, OR 97045-1583
Phone
(503) 657-5555
Fax
(503) 657-6502
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Authorized official

Name
Barbara G Tauscher
Title
Executive Director
Phone
(971) 224-2457

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

1508 Division St
Suite 15
Oregon City, OR 97045-1583

Mailing address

1508 Division St
Suite 15
Oregon City, OR 97045-1583
Phone (503) 657-5555

Other identifiers 1

IdentifierTypeStateIssuer
171447MedicaidOR

Other names 1

  • Clackamas Gastroenterology Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1164464616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 DIVISION ST",
            "address_2": "SUITE 15",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451583",
            "telephone_number": "503-657-5555",
            "fax_number": "503-657-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 DIVISION ST",
            "address_2": "SUITE 15",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451583",
            "telephone_number": "503-657-5555",
            "fax_number": "503-657-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY SPECIALISTS OF OREGON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "TAUSCHER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "971-224-2457"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171447",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clackamas Gastroenterology",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Oregon City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.