Active NPI
Thomas A Kahan, MD
- Gynecology Physician
- Salem, OR
National Provider Identifier
1184601593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- MD11190
- Practice address
- 700 Bellevue St SE
Ste 245
Salem, OR 97301-3891 - Phone
- (503) 371-0606
- Fax
- (503) 371-0604
- NPI assigned
- Dec 28, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | MD11190 | OR | Primary |
Addresses
Primary practice location
700 Bellevue St SE
Ste 245
Salem, OR 97301-3891
Mailing address
700 Bellevue St SE
Ste 245
Salem, OR 97301-3891
Phone (503) 371-0606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022434 | Medicaid | OR |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas a Kahan MD PC | Past | Accepting new patients | |
| Salem Brain & Spine, 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 and National Provider Directory roles.
-
- Medical Specialty Clinic/Center
- Keizer, OR
- NPI 1639278351
-
- Health Service Clinic/Center
- Salem, OR
- NPI 1235454455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194825600000",
"number": "1184601593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 BELLEVUE ST SE",
"address_2": "STE 245",
"city": "SALEM",
"state": "OR",
"postal_code": "973013891",
"telephone_number": "503-371-0606",
"fax_number": "503-371-0604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 BELLEVUE ST SE",
"address_2": "STE 245",
"city": "SALEM",
"state": "OR",
"postal_code": "973013891",
"telephone_number": "503-371-0606",
"fax_number": "503-371-0604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHAN",
"first_name": "THOMAS",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-28",
"last_updated": "2007-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "OR",
"license": "MD11190",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022434",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.