NPIMap

Organization Active NPI

Calcagno Pediatrics PC

  • Pediatrics Physician
  • Gresham, OR
National Provider Identifier
1255322194
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CALCAGNO PEDIATRICS PC
Practice address
24850 SE Stark St
Ste 150
Gresham, OR 97030-8316
Phone
(503) 491-0714
Fax
(503) 674-2834
NPI assigned
Oct 31, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Frank Anthony Calcagno, MDNPI 1356331847
Title
MD/Owner
Phone
(503) 491-0714

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X OR Primary

Addresses

Primary practice location

24850 SE Stark St
Ste 150
Gresham, OR 97030-8316

Mailing address

24850 SE Stark St
Ste 150
Gresham, OR 97030-8316
Phone (503) 491-0714

Other identifiers 1

IdentifierTypeStateIssuer
000136MedicaidOR

National Provider Directory

National Provider Directory

Locations

23331 SE Stark St
Ste 201
Gresham, OR 97030

24850 SE Stark St
Ste 150
Gresham, OR 97030
Phone (503) 414-5700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9407/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1255322194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24850 SE STARK ST",
            "address_2": "STE 150",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970308316",
            "telephone_number": "503-491-0714",
            "fax_number": "503-674-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24850 SE STARK ST",
            "address_2": "STE 150",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970308316",
            "telephone_number": "503-491-0714",
            "fax_number": "503-674-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALCAGNO PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CALCAGNO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "503-491-0714",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000136",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.