Active NPI
Gordon Gray Still, M.D.
- Pediatric Pulmonology Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- MD209666
- 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, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD209666 | OR | MD | Pediatrics Physician |
| 29551 | NE | MD | Pediatric Sleep Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Professional Services | Current | Accepting new patients | |
| Kapiolani Medical Specialists | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| Unmc Physicians | Current | Accepting new patients | |
| Legacy Emanuel Hospital & Health Center | Current | Accepting new patients | |
| Kapiolani Medical Center for Women & Children | Current | Accepting new patients | |
| Legacy Emanuel Hospital & Health Center | Pediatrics | Current | Accepting new patients |
| Legacy Emanuel Hospital & Health Center | Current | Accepting new patients | |
| Kapiolani Medical Center for Women & Children | Current | 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
- 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.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1831112358
-
- General Practice Physician
- Portland, OR
- NPI 1376709535
-
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1548215692
-
dba Hawaii Pacific Health Medical Group
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1124071014
-
- Multi-Specialty Clinic/Center
- Omaha, NE
- NPI 1417912114
-
dba Apothecary at Emanuel Hospital
- Community/Retail Pharmacy
- Portland, OR
- NPI 1417977976
-
dba OHSU Home Infusion Pharmacy
- Pharmacy
- Beaverton, OR
- NPI 1073054714
-
dba OHSU Avel Gordly Center for Healing
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portland, OR
- NPI 1316354970
-
dba Kapiolani Medical Center Outpatient Pharmacy
- Community/Retail Pharmacy
- Honolulu, HI
- NPI 1841263720
-
dba MedScool Associates South
- Surgery Physician
- Henderson, NV
- NPI 1053739268
Pediatrics
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.