Active NPI
William Schad
- Contractor
- Hillsboro, OR
National Provider Identifier
1245698869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 21995
- Practice address
- 6125 NE Cornell Rd Ste 390
Hillsboro, OR 97124-5417 - Phone
- (503) 530-8517
- Fax
- (503) 766-6483
- NPI assigned
- Feb 10, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 21995 | OR | Primary |
Addresses
Primary practice location
6125 NE Cornell Rd Ste 390
Hillsboro, OR 97124-5417
Mailing address
505 SE 121St Ave
Apt 77
Vancouver, WA 98683-4049
Phone (864) 804-3892
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21995 | OR | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455062400000",
"number": "1245698869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 SE 121ST AVE",
"address_2": "APT 77",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986834049",
"telephone_number": "864-804-3892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6125 NE CORNELL RD STE 390",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971245417",
"telephone_number": "503-530-8517",
"fax_number": "503-766-6483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAD",
"first_name": "WILLIAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-10",
"last_updated": "2016-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "OR",
"license": "21995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.