Active NPI
James Patrick Dolan, MD
- Surgery Physician
- Portland, OR
National Provider Identifier
1336179589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD24198
- Practice address
- 3033 SW Bond
Portland, OR 97239 - Phone
- (503) 494-6900
- Fax
- (503) 494-8884
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD24198 | OR | Primary |
Addresses
Primary practice location
3033 SW Bond
Portland, OR 97239
Mailing address
3181 SW Sam Jackson Park Rd
Ohsu, General Surgery-L223A
Portland, OH 97239
Phone (503) 494-6900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD24198 | OR | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520208000000",
"number": "1336179589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"address_2": "OHSU, GENERAL SURGERY-L223A",
"city": "PORTLAND",
"state": "OH",
"postal_code": "97239",
"telephone_number": "503-494-6900",
"fax_number": "503-494-8884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3033 SW BOND",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97239",
"telephone_number": "503-494-6900",
"fax_number": "503-494-8884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLAN",
"first_name": "JAMES",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2018-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OR",
"license": "MD24198",
"primary": true
}
],
"identifiers": [],
"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 Mar 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.