NGC Endoscopy Services LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

07 1539 Issued in OR

Legal business name

NGC ENDOSCOPY SERVICES LLC

Practice address

1130 NW 22ND Ave Ste 410
Portland, OR 97210-2911

Phone

(503) 229-7137

NPI assigned

Nov 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Roland William BennettsNPI 1902851132

Title

Medical Director

Phone

(503) 229-7137

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Listed as

Northwest Gastroenterology Clinic LLCCCN 38C0001046

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Meghan Allison Nesmith, M.D.

  • Gastroenterology Physician
  • Portland, OR
  • NPI 1356640544
  Medicare reassignment NPD
• Roland William Bennetts, M.D.

  • Specialist
  • Portland, OR
  • NPI 1902851132
  Authorized official Same address or phone
• Katherine Rollins Black, MD

  • Gastroenterology Physician
  • Portland, OR
  • NPI 1801018122
  NPD
• Jeffrey Charles Buehler, M.D.

  • Specialist
  • Portland, OR
  • NPI 1164534608
  NPD
• Barry T Degregorio, M.D.

  • Specialist
  • Portland, OR
  • NPI 1205948726
  NPD
• Craig Randall Ferguson, ARNP

  • Family Nurse Practitioner
  • Bend, OR
  • NPI 1477717130
  NPD
• Edward Allen Galen, M.D.

  • Specialist
  • Portland, OR
  • NPI 1417052762
  NPD
• Benjamin Mark Hornung, M.D.

  • Hospitalist Physician
  • Portland, OR
  • NPI 1811317944
  NPD
• Saad Fahmi Jazrawi, MD

  • Gastroenterology Physician
  • Portland, OR
  • NPI 1942417118
  NPD
• Jeffrey Stephen Olson, M.D.

  • Gastroenterology Physician
  • Clackamas, OR
  • NPI 1730380791
  NPD
• Jay C Poorman, M.D.

  • Specialist
  • Portland, OR
  • NPI 1215049721
  NPD
• Matthew Andres Smith, MD

  • Gastroenterology Physician
  • Portland, OR
  • NPI 1962590570
  NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366529638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 NW 22ND AVE STE 615",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102977",
            "telephone_number": "503-229-7137",
            "fax_number": "503-241-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 NW 22ND AVE STE 410",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102911",
            "telephone_number": "503-229-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGC ENDOSCOPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENNETTS",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "503-229-7137",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OR",
            "license": "07 1539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald NG, MD
• Stephanie NG, DMD
• Ngan Hoang, LLC (Cedar Mill Dental)
• Tsang Tsang Sam Ngan
• Vonny Ngantung, D.D.S.
• Vanessa Ngea, APRN
• Aja Ngo, LAC.
• Brandon Ngo, MD
• Brian Ngo
• Britney V Ngo, PA-C

• Ambulatory Surgical Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Ambulatory Surgical Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.