Edward S Phinney Jr., MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD13227 Issued in OR

Practice address

9155 SW Barnes Rd
Ste 217
Portland, OR 97225-6625

Phone

(503) 297-1548

Fax

(503) 297-0230

NPI assigned

Sep 2, 2005

Last updated

Oct 11, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Edward S Phinney Jr, MD, PC

  • Surgery Physician
  • Portland, OR
  • NPI 1508812066
  Authorized official Same address or phone

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1326032459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3439 NE SANDY BLVD",
            "address_2": "PMB 375",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321959",
            "telephone_number": "503-284-8841",
            "fax_number": "503-282-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9155 SW BARNES RD",
            "address_2": "STE 217",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256625",
            "telephone_number": "503-297-1548",
            "fax_number": "503-297-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHINNEY",
        "first_name": "EDWARD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD13227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178269",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Phillips, DO
• Victoria Phillips, CADC R
• Whitney Phillips, D.C.
• Helen C. Philpot, LMT
• Rachel Taylor Philpott
• Corey Phipps-Davisson
• Phoebe Rich, MD LLC (Oregon Dermatology and Research Center)
• Phoenix Chiropractic, LLC
• Phoenix Rising Psychology
• Phoenix Rising Therapy, LLC

• Surgery Physician in Portland, OR
• Providers in Portland, OR by specialty
• Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.