Individual provider Active NPI

Joseph Marquardt, D.O.

  • Diagnostic Radiology Physician
  • Tualatin, OR
National Provider Identifier
1265753842
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
DO209600 Issued in OR
Practice address
19300 SW 65TH Ave
Tualatin, OR 97062-7706
Phone
(503) 692-1212
NPI assigned
Jun 17, 2010
Last updated
Aug 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 0102205857 VA
Diagnostic Radiology Physician 2085R0202X DO209600 OR Primary

Addresses

Primary practice location

19300 SW 65TH Ave
Tualatin, OR 97062-7706

Mailing address

PO Box 488
Corvallis, OR 97339-0488
Phone (541) 758-5047

Other practice location 1

34800 Bob Wilson Dr
San Diego, CA 92134-1098
Phone (928) 600-1920

Other practice location 2

PSC 482
Fpo, AP 96362
Phone (928) 600-1920

Other practice location 3

Advanced Cardiac Imaging
600 Gresham Drive
Norfolk, VA 23507-1904
Phone (757) 388-8870

Other practice location 4

Innovation Health Services
400 Gresham Drive Suite 100
Norfolk, VA 23507
Phone (888) 784-4763

Other practice location 5

BLDG H 2005 Knight Lane
Navy Medicine Support Command: Medical Staff Services
Jacksonville, FL 32212
Phone (619) 532-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, CA, OR, WA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20201125001593 VA Practitioner - Diagnostic Radiology 6800207705 Reassigns benefits to 1 organization
I20210318002901 CA Practitioner - Diagnostic Radiology 6800207705 Reassigns benefits to 1 organization
I20220509001786 OR Practitioner - Diagnostic Radiology 6800207705 Reassigns benefits to 7 organizations
I20260415000282 WA Practitioner - Diagnostic Radiology 6800207705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Arizona College of Osteopathic Medicine Mid Western University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tualatin Imaging PCGroup PAC ID 8123011392, 18 clinicians
Willamette Radiology Billing Services LLCGroup PAC ID 9335681972, 15 clinicians
Good Shepherd Health Care SystemGroup PAC ID 9133033764, 125 clinicians
Grande Ronde Hospital IncGroup PAC ID 0547170789, 97 clinicians

Practice addresses (Care Compare)

19300 SW 65TH Ave
Tualatin, OR 97062-7706
Phone (503) 692-7447

2700 SE Stratus Ave
McMinnville, OR 97128-6255
Phone (503) 435-6322

610 NW 11TH St
Hermiston, OR 97838-6601
Phone (541) 667-3400

7427 SW Coho CT
Suite 200
Tualatin, OR 97062-8618
Phone (503) 413-7800

900 Sunset Dr
La Grande, OR 97850-1387
Phone (541) 963-8421

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO209600ORMDDiagnostic Radiology Physician
18556CAMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grande Ronde Hospital, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Mar 3, 2021 Accepting new patients
Sentara Medical Group CurrentSince Jan 1, 2021 Accepting new patients
Good Shepherd Health Care System CurrentSince Oct 26, 2022 Accepting new patients
Tualatin Imaging P C Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Good Shepherd Health Care System CurrentSince Oct 26, 2022 Accepting new patients
Grande Ronde Hospital, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Willamette Radiology Billing Services LLC Diagnostic Radiology CurrentSince Mar 26, 2024 Accepting new patients
Alliance Healthcare Services Inc CurrentSince Jun 15, 2024 Accepting new patients

Locations (25 of 26)

6900 E Camelback Rd
Ste 700
Scottsdale, AZ 85251
Phone (602) 651-1945

155 N San Vicente Blvd
Beverly Hills, CA 90211
Phone (323) 433-7800

155 N San Vicente Blvd
#1182
Beverly Hills, CA 90211
Phone (323) 433-7800

8370 Wilshire Blvd
Ste 110
Beverly Hills, CA 90211
Phone (323) 966-0000

9134 W Olympic Blvd
Beverly Hills, CA 90212
Phone (310) 432-1000

6185 Paseo del Norte
Ste 110
Carlsbad, CA 92011
Phone (760) 494-0556

455 Hickey Blvd
Ste 200
Daly City, CA 94015
Phone (650) 757-2030

499 N El Camino Real
Ste C100
Encinitas, CA 92024
Phone (760) 334-4065

15775 Laguna Canyon Rd
Ste 140
Irvine, CA 92618
Phone (949) 522-8120

24022 Calle de la Plata
Ste 100
Laguna Hills, CA 92653
Phone (949) 330-8996

14651 S Bascom Ave
Ste 120
Los Gatos, CA 95032
Phone (408) 356-0444

105 South Dr
Ste 110
Mountain View, CA 94040
Phone (650) 259-3165

1690 Barton Rd
Ste 107
Redlands, CA 92373
Phone (909) 335-5444

1180 Post St
San Francisco, CA 94109
Phone (415) 248-3700

325 Sacramento St
San Francisco, CA 94111
Phone (408) 356-9013

4144 Redwood Hwy
Ste B
San Rafael, CA 94903
Phone (415) 479-9907

1825 Civic Center Dr
Ste 1
Santa Clara, CA 95050
Phone (408) 296-5555

225 W Hospitality Ln
Ste 100
Sn Bernrdno, CA 92408
Phone (909) 890-5850

3531 Fashion Way
Ste 2
Torrance, CA 90503
Phone (310) 974-1260

600 NW 11th St
Ste E37
Hermiston, OR 97838
Phone (541) 567-5305

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

900 Sunset Dr
La Grande, OR 97850
Phone (541) 963-8421

2700 SE Stratus Ave
McMinnville, OR 97128
Phone (503) 435-1200

19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212

600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055

Organizations & group practices 10

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1265753842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973390488",
            "telephone_number": "541-758-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19300 SW 65TH AVE",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970627706",
            "telephone_number": "503-692-1212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34800 Bob Wilson Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921341098",
            "country_code": "US",
            "telephone_number": "928-600-1920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "PSC 482",
            "address_purpose": "LOCATION",
            "city": "FPO",
            "state": "AP",
            "postal_code": "96362",
            "country_code": "US",
            "telephone_number": "928-600-1920",
            "country_name": "United States",
            "address_type": "MIL"
        },
        {
            "address_1": "Advanced Cardiac Imaging",
            "address_2": "600 Gresham Drive",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071904",
            "country_code": "US",
            "telephone_number": "757-388-8870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Innovation Health Services",
            "address_2": "400 Gresham Drive Suite 100",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "23507",
            "country_code": "US",
            "telephone_number": "888-784-4763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "BLDG H 2005 Knight Lane",
            "address_2": "Navy Medicine Support Command: Medical Staff Services",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "32212",
            "country_code": "US",
            "telephone_number": "619-532-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARQUARDT",
        "first_name": "JOSEPH",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-17",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0102205857",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "DO209600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

Verify at the official NPI Registry.