Individual provider Active NPI

Deborah Lynne Wirsing, M.D.

  • Anesthesiology Physician
  • Springfield, OR
National Provider Identifier
1346498136
Registry record updated Sep 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD158114 Issued in OR
Practice address
939 Harlow Rd Ste 110
Springfield, OR 97477-1190
Phone
(541) 686-9551
NPI assigned
Sep 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD158114 OR Primary
Anesthesiology Physician 207L00000X ML 60019585 WA

Addresses

Primary practice location

939 Harlow Rd Ste 110
Springfield, OR 97477-1190

Mailing address

939 Harlow Rd Ste 110
Springfield, OR 97477-1190
Phone (541) 686-9551

Other identifiers 1

IdentifierTypeStateIssuer
857002982OtherEID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20121022000272 OR Practitioner - Anesthesiology 9931359379 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
73.51 of 100Reported as group
Quality
68.84
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD158114ORMDAnesthesiology Physician
ML 60019585WAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
On-Site Anesthesia Services Inc Anesthesiology CurrentSince Jun 26, 2017 Accepting new patients
Columbia Anesthesia Group P S Anesthesiology CurrentSince Oct 20, 2022 Accepting new patients

Locations

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

2480 Liberty St NE
Ste 120
Salem, OR 97301
Phone (503) 363-4355

7300 SW Childs Rd
Ste A
Tigard, OR 97224
Phone (360) 828-5396

6464 SW Borland Rd
Ste A3
Tualatin, OR 97062
Phone (503) 292-8614

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441324800000",
    "number": "1346498136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 HARLOW RD STE 110",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771190",
            "telephone_number": "541-686-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 HARLOW RD STE 110",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771190",
            "telephone_number": "541-686-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIRSING",
        "first_name": "DEBORAH",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2015-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OR",
            "license": "MD158114",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "ML 60019585",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EID",
            "identifier": "857002982",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

Verify at the official NPI Registry.