Organization Active NPI

Columbia Cardiology Associates LTD

  • Specialist
  • Newberg, OR
National Provider Identifier
1275576050
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
COLUMBIA CARDIOLOGY ASSOCIATES LTD
Practice address
1003 Providence Drive
Suite 325
Newberg, OR 97132-1886
Phone
(503) 554-1187
Fax
(503) 554-8486
NPI assigned
Jun 13, 2006
Last updated
May 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Jeff Fry
Title
Ceo Administrator
Phone
(503) 297-6234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1003 Providence Drive
Suite 325
Newberg, OR 97132-1886

Mailing address

PO Box 4100
Ms 12
Portland, OR 97208-4100
Phone (503) 297-6234

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1275576050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4100",
            "address_2": "MS 12",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084100",
            "telephone_number": "503-297-6234",
            "fax_number": "503-297-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 PROVIDENCE DRIVE",
            "address_2": "SUITE 325",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321886",
            "telephone_number": "503-554-1187",
            "fax_number": "503-554-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA CARDIOLOGY ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "FRY",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CEO ADMINISTRATOR",
        "authorized_official_telephone_number": "503-297-6234"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.