Russell Robert Kinder, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

MD156934 Issued in OR

Practice address

10000 SE Main St Ste 128
Portland, OR 97216-2462

Phone

(503) 251-6835

Fax

(503) 251-6836

NPI assigned

Jun 8, 2007

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5993/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Seattle Pain Relief PLLC

  • Family Medicine Physician
  • Federal Way, WA
  • NPI 1710240841
  Medicare reassignment NPD
• The Pain Center of Western Washington, PLLC

  • Interventional Pain Medicine Physician
  • Federal Way, WA
  • NPI 1841471901
  Medicare reassignment NPD
• Seattle Pain Relief PLLC

  dba Federal Way Ambulatory Surgical Facility

  • Ambulatory Surgical Clinic/Center
  • Federal Way, WA
  • NPI 1902447386

  Pain Medicine

  NPD
• Joseph P Stapleton MD, PC

  dba Portland Pain Care

  • Pain Medicine (Anesthesiology) Physician
  • Portland, OR
  • NPI 1376728097
  NPD (past)
• Sports and Spine

  • Clinic/Center
  • Bellevue, WA
  • NPI 1598255903
  NPD (past)

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1316140965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 SE MAIN ST STE 128",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162462",
            "telephone_number": "503-251-6835",
            "fax_number": "503-251-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 SE MAIN ST STE 128",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162462",
            "telephone_number": "503-251-6835",
            "fax_number": "503-251-6836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Lilly Rd NE Ste 101",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985065028",
            "country_code": "US",
            "telephone_number": "425-774-1538",
            "fax_number": "425-774-5171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 Lilly Rd NE Ste 101",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985065028",
            "country_code": "US",
            "telephone_number": "425-774-1538",
            "fax_number": "425-774-5171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINDER",
        "first_name": "RUSSELL",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WA",
            "license": "MD60232145",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OR",
            "license": "MD156934",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "OR",
            "license": "MD156934",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316140965",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelleigh Kincaid, FNTP, RWS, BCHN
• Kind Heart Arts
• Andrew Kind
• Jennifer Leigh Kind
• Nicholas Burnham Kinder
• Kindrd Path
• Melinda Kinduell, MA
• Kine Fischler Acupuncture & Herbs (Willow Tree Acupuncture and Wellness Clinic)
• Kine Fischler Acupuncture & Herbs
• Meghan Bridget Kinealy, MD

• Pain Medicine (Anesthesiology) Physician in Portland, OR
• Providers in Portland, OR by specialty
• Pain Medicine (Anesthesiology) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.