Individual provider Active NPI

Terrence A Sedgewick, MD

  • Orthopaedic Surgery Physician
  • Oregon City, OR
National Provider Identifier
1386679520
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD18109 Issued in OR
Practice address
1508 Division St
Suite 105
Oregon City, OR 97045-1582
Phone
(503) 656-0836
Fax
(503) 656-9464
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD18109 OR Primary

Addresses

Primary practice location

1508 Division St
Suite 105
Oregon City, OR 97045-1582

Mailing address

1508 Division St
Suite 105
Oregon City, OR 97045-1582
Phone (503) 656-0836

Other identifiers 1

IdentifierTypeStateIssuer
053970MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040213000243 OR Practitioner - Orthopedic Surgery 0648164210 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Regenerative Orthopedic Center LLC Orthopaedic Surgery CurrentSince Jul 1, 2023 Accepting new patients
Regenerative Orthopedic Center LLC Orthopaedic Surgery CurrentSince Jul 1, 2023 Accepting new patients

Locations

1508 Division St
Ste 105
Oregon City, OR 97045
Phone (503) 656-0836

15755 SW Sequoia Pkwy
Ste 200
Tigard, OR 97224
Phone (503) 639-6002

7401 SW Washo Ct
Ste 100
Tualatin, OR 97062
Phone (503) 656-0836

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1386679520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 DIVISION ST",
            "address_2": "SUITE 105",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451582",
            "telephone_number": "503-656-0836",
            "fax_number": "503-656-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 DIVISION ST",
            "address_2": "SUITE 105",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451582",
            "telephone_number": "503-656-0836",
            "fax_number": "503-656-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDGEWICK",
        "first_name": "TERRENCE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "MD18109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053970",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon City, OR

Sources for this page

Verify at the official NPI Registry.