Organization Active NPI

Cardiology Consults LLC

  • Health Service Clinic/Center
  • Tualatin, OR
National Provider Identifier
1275701740
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
MD20595 Issued in OR
Legal business name
CARDIOLOGY CONSULTS LLC
Practice address
6787 SW Wampanoag Dr
Tualatin, OR 97062
Phone
(503) 913-7206
Fax
(503) 344-6536
NPI assigned
Feb 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Authorized official

Name
Dr. Daniela Samoil, M.D.NPI 1891750329
Title
Owner
Phone
(503) 913-7206

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
Health Service Clinic/Center 261QH0100X MD20595 OR Primary

Addresses

Primary practice location

6787 SW Wampanoag Dr
Tualatin, OR 97062

Mailing address

3423 Royce Way
Lake Oswego, OR 97034-7372
Phone (503) 913-7206

Other identifiers 1

IdentifierTypeStateIssuer
1275701740OtherORNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040121000137 OR Part B Supplier - Clinic/Group Practice 3870495989 Receives reassigned benefits from 1 practitioner
Practice locations: Tualatin, OR

National Provider Directory

National Provider Directory

Locations

15110 Boones Ferry Rd
Lake Oswego, OR 97035
Phone (503) 702-6442

15110 Boones Ferry Rd
Ste 240
Lake Oswego, OR 97035
Phone (503) 545-2801

1400 Division St
Oregon City, OR 97045
Phone (503) 656-0367

1680 Molalla Ave
Oregon City, OR 97045
Phone (503) 655-2588

10373 NE Hancock St
Ste 119
Portland, OR 97220
Phone (503) 257-5544

13145 SE River Rd
Portland, OR 97222
Phone (503) 353-6255

171 NE 102nd Ave
Bldg 5
Portland, OR 97220
Phone (503) 257-3327

9750 NE Glisan St
Portland, OR 97220
Phone (360) 356-3409

693 Glatt Cir
#4
Woodburn, OR 97071
Phone (503) 257-5544

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533600000000",
    "number": "1275701740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3423 ROYCE WAY",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970347372",
            "telephone_number": "503-913-7206",
            "fax_number": "503-638-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6787 SW WAMPANOAG DR",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "97062",
            "telephone_number": "503-913-7206",
            "fax_number": "503-344-6536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY CONSULTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-18",
        "last_updated": "2018-08-07",
        "status": "A",
        "authorized_official_last_name": "SAMOIL",
        "authorized_official_first_name": "DANIELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-913-7206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OR",
            "license": "MD20595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1275701740",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.