Active NPI
Matthew T a Sugalski MD PC
- Orthopaedic Surgery Physician
- Milwaukie, OR
National Provider Identifier
1184893984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD26225
- Legal business name
- MATTHEW T A SUGALSKI MD PC
- Practice address
- 6542 SE Lake Road
Suite 201
Milwaukie, OR 97222-2237 - Phone
- (503) 659-1769
- Fax
- (503) 659-7522
- NPI assigned
- Feb 26, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew T Sugalski, M.D.
- Title
- Physician
- Phone
- (503) 659-1769
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD26225 | OR | Primary |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | MD26225 | OR |
Addresses
Primary practice location
6542 SE Lake Road
Suite 201
Milwaukie, OR 97222-2237
Mailing address
6542 SE Lake Rd
Suite 201
Milwaukie, OR 97222-2138
Phone (503) 659-1769
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245888000000",
"number": "1184893984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6542 SE LAKE RD",
"address_2": "SUITE 201",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972222138",
"telephone_number": "503-659-1769",
"fax_number": "503-659-7522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6542 SE LAKE ROAD",
"address_2": "SUITE 201",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972222237",
"telephone_number": "503-659-1769",
"fax_number": "503-659-7522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATTHEW T A SUGALSKI MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-26",
"last_updated": "2009-06-25",
"status": "A",
"authorized_official_last_name": "SUGALSKI",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "503-659-1769",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "OR",
"license": "MD26225",
"primary": true
},
{
"code": "207XX0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "OR",
"license": "MD26225",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukie, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.