MD Squared

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MD26751 Issued in OR

Legal business name

MD SQUARED

Practice address

22400 Salamo Rd Ste 201
West Linn, OR 97068-8269

Phone

(503) 723-7234

NPI assigned

Nov 8, 2012

Last updated

Sep 25, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Miller-Davis, MDNPI 1508890179

Title

President

Phone

(503) 723-7234

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer W Miller-Davis, MD

  • Obstetrics & Gynecology Physician
  • West Linn, OR
  • NPI 1508890179
  Medicare reassignment Authorized official
• Kelly Rose Jackson, WHCNP, CNM

  • Advanced Practice Midwife
  • West Linn, OR
  • NPI 1659083129

  Single Specialty

  NPD

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1285988444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 SW CREEKSIDE PL",
            "address_2": "150",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970087108",
            "telephone_number": "503-968-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22400 SALAMO RD STE 201",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970688269",
            "telephone_number": "503-723-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD SQUARED",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-08",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "MILLER-DAVIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-723-7234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OR",
            "license": "MD26751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernadette Teresa McKee, LMT
• Kathryn McKinzie, LCSW
• Daniel McMillan, PTA
• Kari McNamara, RN, MSCP, NBC-HWC
• Jeffrey Edward McWilliams, M.D.
• Huey J Meeker, M.D.
• Audra Gaye Mehan, D.C.
• Gerald Palting Melchor, M.D.
• Melanie Anne Mellis, LMT
• Alexa Rae Menante, LMT

• Medical Specialty Clinic/Center in West Linn, OR
• Providers in West Linn, OR by specialty
• Medical Specialty Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.