Organization Active NPI

Jeffrey E. Flemming, M.D., P.C.

  • Specialist
  • Portland, OR
National Provider Identifier
1366639510
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD13910 Issued in OR
Legal business name
JEFFREY E. FLEMMING, M.D., P.C.
Practice address
5050 NE Hoyt St
#611
Portland, OR 97213-2991
Phone
(503) 215-0703
Fax
(503) 215-0721
NPI assigned
Oct 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Authorized official

Name
Dr. Jeffrey E. Flemming, M.D.NPI 1841266335
Title
President
Phone
(503) 215-0703

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD13910 OR Primary

Addresses

Primary practice location

5050 NE Hoyt St
#611
Portland, OR 97213-2991

Mailing address

5050 NE Hoyt St
#611
Portland, OR 97213-2991
Phone (503) 215-0703

Other identifiers 1

IdentifierTypeStateIssuer
086074MedicaidOR

National Provider Directory

National Provider Directory

Locations

5050 NE Hoyt St
Ste 611
Portland, OR 97213
Phone (503) 215-0703

5050 NE Hoyt St
Ste 660
Portland, OR 97213
Phone (503) 231-4914

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1366639510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 NE HOYT ST",
            "address_2": "#611",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132991",
            "telephone_number": "503-215-0703",
            "fax_number": "503-215-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 NE HOYT ST",
            "address_2": "#611",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132991",
            "telephone_number": "503-215-0703",
            "fax_number": "503-215-0721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY E. FLEMMING, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "FLEMMING",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-215-0703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD13910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086074",
            "state": "OR"
        }
    ],
    "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 Sep 24, 2008; 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.