Active NPI
Benjamin Joseph Schwartz, MD
- Family Medicine Physician
- Tigard, OR
National Provider Identifier
1275565244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD10360
- Practice address
- 9735 SW Shady LN
Suite 100
Tigard, OR 97223-5481 - Phone
- (503) 639-2800
- Fax
- (503) 639-4044
- NPI assigned
- Jul 7, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD10360 | OR | Primary |
Addresses
Primary practice location
9735 SW Shady LN
Suite 100
Tigard, OR 97223-5481
Mailing address
9735 SW Shady LN
Suite 100
Tigard, OR 97223-5481
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10360 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recovery Works NW LLC | Current | Accepting new patients | |
| Doctor's Family Clinic & Immediate Care | Current | Accepting new patients | |
| Recovery Works NW LLC | Current | Accepting new patients | |
| Legacy Clinics LLC | Past | Accepting new patients | |
| Legacy Clinics LLC | Family Medicine | Past | Accepting new patients |
Locations
9735 SW Shady Ln
Ste 100
Tigard, OR 97223
Phone (503) 292-7005
12540 SW Main St
Ste 202
Tigard, OR 97223
Phone (503) 906-9995
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Tigard, OR
- NPI 1083010094
-
- Primary Care Clinic/Center
- Tigard, OR
- NPI 1235216201
-
- Multi-Specialty Clinic/Center
- Portland, OR
- NPI 1871264416
-
dba Legacy Medical Group Firwood
- Rural Health Clinic/Center
- Sandy, OR
- NPI 1730472192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275565244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9735 SW SHADY LN",
"address_2": "SUITE 100",
"city": "TIGARD",
"state": "OR",
"postal_code": "972235481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9735 SW SHADY LN",
"address_2": "SUITE 100",
"city": "TIGARD",
"state": "OR",
"postal_code": "972235481",
"telephone_number": "503-639-2800",
"fax_number": "503-639-4044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWARTZ",
"first_name": "BENJAMIN",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD10360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.