Active NPI
John H Schwartz, MD
- Family Medicine Physician
- Tigard, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1707
- Practice address
- 18040 SW Lower Boones Ferry Rd
Suite 100
Tigard, OR 97224-7259 - Phone
- (503) 216-0700
- NPI assigned
- Aug 12, 2006
- Last updated
- Mar 24, 2021
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD158400 | OR | |
| Family Medicine Physician | 207Q00000X | 1707 | AK | Primary |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | MD158400 | OR | |
| Internal Medicine Physician | 207R00000X | MD158400 | OR |
Addresses
Primary practice location
18040 SW Lower Boones Ferry Rd
Suite 100
Tigard, OR 97224-7259
Mailing address
PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00168125 | Other | AK | RAILROAD MEDICARE PIN# |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jschwartz12185@ak.providencedirect.org | ||
| Direct Messaging Address | jschwartz12185@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 E 36TH Ave
Anchorage, AK 99508-4372
Phone (907) 562-9229
910 Compassion Cir
Anchorage, AK 99504-1645
Phone (907) 212-9100
920 Compassion Cir
Anchorage, AK 99504-1645
Phone (907) 212-9200
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1707 | AK | MD | Family Medicine Physician |
| MD158400 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services- Washington | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| South East Alaska Regional Health Consortium | Current | Accepting new patients |
Locations
1201 E 36th Ave
Anchorage, AK 99508
Phone (907) 562-9229
3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111
920 Compassion Cir
Anchorage, AK 99504
Phone (907) 212-9200
37 Chilkat Ave
Haines, AK 99827
Phone (907) 463-4040
3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000
9205 SW Barnes Rd
Ste 2800
Portland, OR 97225
Phone (503) 216-2621
Interoperability endpoints
- john.schwartz.1@31880.direct.athenahealth.com
- jschwartz12185@oc.providencedirect.org
Organizations & group practices 4
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.
-
dba Providence Medical Group Alaska
- Critical Care Medicine (Internal Medicine) Physician
- Anchorage, AK
- NPI 1093956278
-
dba Thorne Bay Health Clinic
- Clinic/Center
- Thorne Bay, AK
- NPI 1376758037
TX
-
dba SEARHC Juneau Medical Clinic
- Clinic/Center
- Juneau, AK
- NPI 1942284765
-
dba SEARHC Specialty Care Clinic- Salmon Creek
- Clinic/Center
- Juneau, AK
- NPI 1427941343
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence Alaska Medical Center
- General Acute Care Hospital
- Anchorage, AK
- NPI 1053363119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1225040157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3158",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083158",
"telephone_number": "503-215-6494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18040 SW LOWER BOONES FERRY RD",
"address_2": "SUITE 100",
"city": "TIGARD",
"state": "OR",
"postal_code": "972247259",
"telephone_number": "503-216-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWARTZ",
"first_name": "JOHN",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD158400",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AK",
"license": "1707",
"primary": true
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "OR",
"license": "MD158400",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD158400",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN#",
"identifier": "P00168125",
"state": "AK"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jschwartz12185@ak.providencedirect.org",
"affiliation": "N",
"address_1": "1201 E 36th Ave",
"city": "Anchorage",
"state": "AK",
"country_code": "US",
"postal_code": "995084372",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jschwartz12185@oc.providencedirect.org",
"affiliation": "N",
"address_1": "18040 SW Lower Boones Ferry Rd",
"city": "Tigard",
"state": "OR",
"country_code": "US",
"postal_code": "972247258",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 24, 2021; 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.