Jay Melvin Schmidt, PA C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA00646 Issued in OR

Practice address

10100 SE Sunnyside Road
Mt Talbert Medical Office Dept of Neurosurgery
Clackamas, OR 97015

Phone

(503) 571-4228

Fax

(503) 571-3601

NPI assigned

Sep 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Saint Alphonsus Medical Center Baker City, Inc

  • Family Medicine Physician
  • Baker City, OR
  • NPI 1881726206
  NPD (past)
• St. Elizabeth Health Services, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Baker City, OR
  • NPI 1417089830
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1225131147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 SE SUNNYSIDE ROAD",
            "address_2": "MT TALBERT MEDICAL OFFICE DEPT OF NEUROSURGERY",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "97015",
            "telephone_number": "503-571-4228",
            "fax_number": "503-571-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 SE SUNNYSIDE ROAD",
            "address_2": "MT TALBERT MEDICAL OFFICE DEPT OF NEUROSURGERY",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "97015",
            "telephone_number": "503-571-4228",
            "fax_number": "503-571-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "JAY",
        "middle_name": "MELVIN",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OR",
            "license": "PA00646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Schelfe
• Kyle Schiell
• Eliana Becky Schiffer, RN
• Trina Schlichting
• David Martin Schmidt, M.D.
• Teresa Marie Schmidt, PT
• Lisa Jo Schnackenberg, RN, MS, FNP
• Jennifer Marie Schneider, QMHA-1, CADC-R, NCMA
• Jacob Alan Schneller, DPT
• Julianna Madar Schopper, CRNA

• Surgical Physician Assistant in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Surgical Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.