Gorge Bone Density Testing LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

GORGE BONE DENSITY TESTING LLC

Practice address

1825 E 19TH St
Suite 3
The Dalles, OR 97058-3365

Phone

(509) 493-1467

Fax

(509) 493-3765

NPI assigned

Aug 6, 2006

Organization subpart

No

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

Authorized official

Name

Carolann J Tate

Title

Office Manager

Phone

(509) 493-1467

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

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

• Thomas H Hodge, MD

  • Sleep Medicine (Internal Medicine) Physician
  • The Dalles, OR
  • NPI 1982687133
  NPD (past)

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

{
    "created_epoch": "1154822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1295744365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 E 19TH ST",
            "address_2": "SUITE 3",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583365",
            "telephone_number": "509-493-1467",
            "fax_number": "509-493-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 E 19TH ST",
            "address_2": "SUITE 3",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583365",
            "telephone_number": "509-493-1467",
            "fax_number": "509-493-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORGE BONE DENSITY TESTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-06",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "CAROLANN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-493-1467"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC SOURCE",
            "identifier": "K285400",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON MEDICAID",
            "identifier": "7115249",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286691",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Robert Good, M.A.
• Julia Goodnight
• Louise Goodnight
• Gorge Anesthesia Services, LLC
• Gorge Bone Density Testing
• Gorge Bone Density Testing LLC
• Gorge NP Partners PC
• Gorge Urology PC
• Blake Gornowicz, MD
• Tasha Renae Gorton

• Diagnostic Radiology Physician in The Dalles, OR
• Providers in The Dalles, OR by specialty
• Diagnostic Radiology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.