Organization Active NPI

Michelle L. Mears, MD , P.C

  • Family Medicine Physician
  • North Plains, OR
National Provider Identifier
1376788315
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD19086 Issued in OR
Legal business name
MICHELLE L. MEARS, MD , P.C
Practice address
10395 NW Glencoe Rd
Suite 200
North Plains, OR 97133-8208
Phone
(503) 647-9400
Fax
(503) 647-5120
NPI assigned
Dec 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Authorized official

Name
Michelle L Mears, M.D.
Title
Owner
Phone
(503) 647-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD19086 OR Primary

Addresses

Primary practice location

10395 NW Glencoe Rd
Suite 200
North Plains, OR 97133-8208

Mailing address

10395 NW Glencoe Rd
Suite 200
North Plains, OR 97133-8208
Phone (503) 647-9400

Other identifiers 1

IdentifierTypeStateIssuer
068353MedicaidOR

National Provider Directory

National Provider Directory

Locations

10395 NW Glencoe Rd
Ste 20
North Plains, OR 97133
Phone (503) 647-9400

Practitioners & affiliated clinicians

Practitioners 1

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": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1376788315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10395 NW GLENCOE RD",
            "address_2": "SUITE 200",
            "city": "NORTH PLAINS",
            "state": "OR",
            "postal_code": "971338208",
            "telephone_number": "503-647-9400",
            "fax_number": "503-647-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10395 NW GLENCOE RD",
            "address_2": "SUITE 200",
            "city": "NORTH PLAINS",
            "state": "OR",
            "postal_code": "971338208",
            "telephone_number": "503-647-9400",
            "fax_number": "503-647-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE L. MEARS, MD , P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "MEARS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-647-9400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD19086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068353",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Plains, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.