Individual provider Active NPI

Gordon Gray Still, M.D.

  • Pediatric Pulmonology Physician
  • Portland, OR
National Provider Identifier
1245572684
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
MD209666 Issued in OR
Practice address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone
(503) 494-8023
Fax
(503) 494-8898
NPI assigned
Mar 25, 2013
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD209666 OR
Pediatric Pulmonology Physician 2080P0214X MD209666 OR Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 29551 NE
Pediatric Sleep Medicine Physician 2080S0012X 29551 NE
Pediatric Sleep Medicine Physician 2080S0012X MD209666 OR

Addresses

Primary practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Mailing address

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8023

Other practice location 1

984220 Nebraska Medical Center
Omaha, NE 68197-2250
Phone (402) 559-6275

Other practice location 2

501 N Graham St Ste 330A
Portland, OR 97227-2001
Phone (503) 413-2050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, OR, HI3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200721003865 NE Practitioner - Pediatric MedicinePractitioner - Pulmonary Disease 4981837143 Reassigns benefits to 1 organization
I20220907001156 OR Practitioner - Pediatric MedicinePractitioner - Other (Physician) 4981837143 Reassigns benefits to 2 organizations
I20240822002484 HI Practitioner - Pediatric MedicinePractitioner - Pulmonary DiseasePractitioner - Sleep Medicine 4981837143 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD209666ORMDPediatrics Physician
29551NEMDPediatric Sleep Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Professional Services CurrentSince Nov 1, 2024 Accepting new patients
Kapiolani Medical Specialists CurrentSince Jun 24, 2024 Accepting new patients
University Professional Services CurrentSince Nov 1, 2024 Accepting new patients
University Professional Services Current Accepting new patients
Unmc Physicians CurrentSince Aug 1, 2020 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Jul 15, 2022 Accepting new patients
Kapiolani Medical Center for Women & Children CurrentSince Jun 24, 2024 Accepting new patients
Legacy Emanuel Hospital & Health Center Pediatrics CurrentSince Jul 15, 2022 Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Kapiolani Medical Center for Women & Children CurrentSince Jun 24, 2024 Accepting new patients
Unsom Multi-Spec GRP Pract S Pediatrics Past Accepting new patients

Locations

1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300

55 Merchant St
Fl 22
Honolulu, HI 96813
Phone (808) 535-7600

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-1010

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

501 N Graham St
Ste 330A
Portland, OR 97227
Phone (503) 413-2050

501 N Graham St
Ste 355
Portland, OR 97227
Phone (503) 413-2560

Interoperability endpoints

  • Direct secure messaging: gstill180992@direct.ohsu.edu

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1245572684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-8023",
            "fax_number": "503-494-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-8023",
            "fax_number": "503-494-8898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "984220 Nebraska Medical Center",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681972250",
            "country_code": "US",
            "telephone_number": "402-559-6275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 N Graham St Ste 330A",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972272001",
            "country_code": "US",
            "telephone_number": "503-413-2050",
            "fax_number": "503-413-2026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STILL",
        "first_name": "GORDON",
        "middle_name": "GRAY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-25",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD209666",
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "OR",
            "license": "MD209666",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NE",
            "license": "29551",
            "primary": false
        },
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "NE",
            "license": "29551",
            "primary": false
        },
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "OR",
            "license": "MD209666",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.