NPIMap

Organization Active NPI

Childrens Cardiac Center PC

  • Clinic/Center
  • Portland, OR
National Provider Identifier
1285608059
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CHILDRENS CARDIAC CENTER PC
Practice address
9155 SW Barnes Rd
Suite 240
Portland, OR 97225-6625
Phone
(503) 296-4027
Fax
(503) 216-2488
NPI assigned
Feb 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Authorized official

Name
Albert Starr, MD
Title
MD
Phone
(503) 296-4027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X OR Primary

Addresses

Primary practice location

9155 SW Barnes Rd
Suite 240
Portland, OR 97225-6625

Mailing address

9155 SW Barnes Rd
Suite 240
Portland, OR 97225-6625
Phone (503) 296-4027

Other identifiers 2

IdentifierTypeStateIssuer
7063332OtherWAWELFARE
061390MedicaidOR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1140048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1285608059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9155 SW BARNES RD",
            "address_2": "SUITE 240",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256625",
            "telephone_number": "503-296-4027",
            "fax_number": "503-216-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9155 SW BARNES RD",
            "address_2": "SUITE 240",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256625",
            "telephone_number": "503-296-4027",
            "fax_number": "503-216-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS CARDIAC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-16",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "STARR",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "503-296-4027",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELFARE",
            "identifier": "7063332",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061390",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.