Active NPI
Peter Zenthoefer, M.D.
- Gynecology Physician
- Clackamas, OR
National Provider Identifier
1376639435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- OR MD14945
- Practice address
- 10100 SE Sunnyside Road
Clackamas, OR 97015-9764 - Phone
- (503) 571-3770
- Fax
- (503) 571-2683
- NPI assigned
- Oct 5, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | OR MD14945 | OR | Primary |
| Gynecology Physician | 207VG0400X | WA MD00034771 | WA |
Addresses
Primary practice location
10100 SE Sunnyside Road
Clackamas, OR 97015-9764
Mailing address
P.O. Box 1049
Mulino, OR 97042-1049
Phone (503) 571-3770
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 |
|---|---|---|---|
| OR MD14945 | OR | MD | Gynecology Physician |
| WA MD00034771 | WA | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376639435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1049",
"city": "MULINO",
"state": "OR",
"postal_code": "970421049",
"telephone_number": "503-571-3770",
"fax_number": "503-571-2683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10100 SE SUNNYSIDE ROAD",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970159764",
"telephone_number": "503-571-3770",
"fax_number": "503-571-2683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZENTHOEFER",
"first_name": "PETER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "OR",
"license": "OR MD14945",
"primary": true
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "WA",
"license": "WA MD00034771",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.