Individual provider Active NPI

James Iwaniec, MD

  • Internal Medicine Physician
  • Hillsboro, OR
National Provider Identifier
1356427215
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD18818 Issued in OR
Practice address
1925 NW Amberglen Pkwy
Hills-Cboc
Hillsboro, OR 97006-6945
Phone
(503) 906-5000
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD18818 OR Primary

Addresses

Primary practice location

1925 NW Amberglen Pkwy
Hills-Cboc
Hillsboro, OR 97006-6945

Mailing address

1925 NW Amberglen Pkwy
Hillsboro, OR 97006-6945
Phone (503) 906-5000

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
I20120508000315 OR Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 0143482158

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD18818ORMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237939200000",
    "number": "1356427215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 NW AMBERGLEN PKWY",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "970066945",
            "telephone_number": "503-906-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 NW AMBERGLEN PKWY",
            "address_2": "HILLS-CBOC",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "970066945",
            "telephone_number": "503-906-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWANIEC",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2009-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD18818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.