Organization Active NPI

Joseph P Stapleton MD, PC

  • Pain Medicine (Anesthesiology) Physician
  • Portland, OR
National Provider Identifier
1376728097
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
JOSEPH P STAPLETON MD, PC
Practice address
9300 SE 91St Ave Ste 400
Portland, OR 97086-3762
Phone
(503) 775-6500
Fax
(503) 775-2275
NPI assigned
Dec 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Authorized official

Name
Dr. Joseph P Stapleton, MDNPI 1700812898
Title
Owner
Phone
(503) 775-6500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207LP2900X Primary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207LP2900X MD13551 OR

Addresses

Primary practice location

9300 SE 91St Ave Ste 400
Portland, OR 97086-3762

Mailing address

9300 SE 91St Ave
Suite 400
Portland, OR 97086
Phone (503) 775-6500

Other practice location 1

1849 NE 106th Ave Ste 201
Hillsboro, OR 97006-6465
Phone (503) 775-6500

Other identifiers 1

IdentifierTypeStateIssuer
500614178MedicaidOR

Other names 1

  • Portland Pain Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051028000230 OR Part B Supplier - Clinic/Group Practice 4385676493 Receives reassigned benefits from 4 practitioners
Practice locations: Hillsboro, OR; Wilsonville, OR; Tualatin, OR; Portland, OR; Happy Valley, OR

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D1102063Portland Pain Care9300 SE 91St Ave Suite 400, Happy Valley, OR 97086Certificate of waiverFeb 22, 2028

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1849 NE 106th Ave
Ste 201
Hillsboro, OR 97006
Phone (503) 406-9859

9200 SE 91st Ave
Ste 100
Portland, OR 97086
Phone (503) 722-6160

9300 SE 91st Ave
Ste 400
Portland, OR 97086
Phone (503) 775-6500

8995 SW Miley Rd
Ste 202
Wilsonville, OR 97070
Phone (503) 775-6500

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1376728097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 SE 91ST AVE",
            "address_2": "SUITE 400",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97086",
            "telephone_number": "503-775-6500",
            "fax_number": "503-775-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 SE 91ST AVE STE 400",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "970863762",
            "telephone_number": "503-775-6500",
            "fax_number": "503-775-2275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1849 NE 106th Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "970066465",
            "country_code": "US",
            "telephone_number": "503-775-6500",
            "fax_number": "503-775-2275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOSEPH P STAPLETON MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "STAPLETON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-775-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OR",
            "license": "MD13551",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500614178",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portland Pain Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Portland Pain Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 28, 2021; 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.