Active NPI
Erik Egsieker, MD
- Emergency Medicine Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036105779
- Practice address
- 10123 SE Market St
Portland, OR 97216 - Phone
- (503) 252-2004
- NPI assigned
- Apr 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | C156675 | CA | |
| Emergency Medicine Physician | 207P00000X | 115510 | MO | |
| Emergency Medicine Physician | 207P00000X | 62652 | AZ | |
| Emergency Medicine Physician | 207P00000X | MD24200 | OR | |
| Emergency Medicine Physician | 207P00000X | MD60811852 | WA | |
| Emergency Medicine Physician | 207P00000X | ME172110 | FL | |
| Emergency Medicine Physician | 207P00000X | 036105779 | IL | Primary |
Addresses
Primary practice location
10123 SE Market St
Portland, OR 97216
Mailing address
PO Box 5275
Portland, OR 97208-5275
Phone (888) 828-3196
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00232008 | Other | RAILROAD MEDICARE | |
| 208976 | Other | WA L & I | |
| 226893 | Medicaid | OR | |
| 8352023 | Medicaid | WA | |
| 858543012 | Other | REGENCE BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA, CA, AZ, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Medical College of Georgia School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cep America LLC
Practice addresses (Care Compare)
1615 Delaware St
Longview, WA 98632-2367
Phone (360) 414-2000
2700 NW Stewart Pkwy
Roseburg, OR 97471-1281
Phone (541) 673-0611
3801 E Hwy 98
Vituity
Port St Joe, FL 32456-5318
Phone (850) 229-5600
5620 W Cortaro Farms Rd
Tucson, AZ 85742-9559
Phone (520) 872-4000
825 Delbon Ave
Turlock, CA 95382-2016
Phone (209) 667-4200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C156675 | CA | MD | Emergency Medicine Physician |
| MD60811852 | WA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America-Arizona LLP | Emergency Medicine | Current | Accepting new patients |
| Cep America, LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Associates PC | Emergency Medicine | Current | Accepting new patients |
| Peacehealth | Past | Accepting new patients | |
| SSM Health Care St. Louis | Emergency Medicine | Past | Accepting new patients |
| SSM Health Care St. Louis | Past | Accepting new patients | |
| Cep America - California | Emergency Medicine | Past | Accepting new patients |
Locations
1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000
7401 S Wilmot Rd
Tucson, AZ 85756
Phone (520) 493-0499
5620 W Cortaro Farms Rd
Tucson, AZ 85742
Phone (520) 872-4000
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
726 4th St
Marysville, CA 95901
Phone (530) 491-9491
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603
3801 E Highway 98
Port St Joe, FL 32456
Phone (850) 229-5600
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
100 Medical Plz
Lake St Louis, MO 63367
Phone (636) 625-5200
300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211
500 Medical Dr
Wentzville, MO 63385
Phone (636) 327-1000
10123 SE Market St
Portland, OR 97216
Phone (503) 251-6355
2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611
21601 76th Ave W
Edmonds, WA 98026
Phone (425) 640-4000
1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818
600 NE 92nd Ave
Vancouver, WA 98664
Phone (360) 514-2142
Organizations & group practices 12
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.
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1841021581
-
- Emergency Medicine Physician
- Miramar Beach, FL
- NPI 1295442614
-
- Emergency Medicine Physician
- Vancouver, WA
- NPI 1962453860
-
- Emergency Medicine Physician
- Navarre, FL
- NPI 1124880612
-
dba PeaceHealth Southwest Medical Center
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
-
dba SSM Health St. Joseph Hospital - St. Charles Physician Billing
- Emergency Medicine Physician
- Saint Charles, MO
- NPI 1427002922
-
dba SSM Health St. Joseph Hospital - Lake Saint Louis Physician Billing
- Emergency Medical Services (Emergency Medicine) Physician
- Lake St Louis, MO
- NPI 1538113097
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Port St Joe, FL
- NPI 1083941678
-
dba Emanuel Medical Center
- General Acute Care Hospital
- Turlock, CA
- NPI 1396087672
-
dba Adventist Health and Rideout
- General Acute Care Hospital
- Marysville, CA
- NPI 1720088354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1205898806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5275",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972085275",
"telephone_number": "888-828-3196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10123 SE MARKET ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97216",
"telephone_number": "503-252-2004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGSIEKER",
"first_name": "ERIK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "C156675",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "115510",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "62652",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OR",
"license": "MD24200",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "MD60811852",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME172110",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036105779",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00232008",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA L & I",
"identifier": "208976",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "226893",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8352023",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BC/BS",
"identifier": "858543012",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.