Active NPI
Gso Equipment Corp
Doing business as The Oregon Clinic Endoscopy Center - Newberg
- Endoscopy Clinic/Center
- Newberg, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endoscopy Clinic/Center
- Legal business name
- GSO EQUIPMENT CORP
- Doing business as
- The Oregon Clinic Endoscopy Center - Newberg
- Practice address
- 879 N Providence Dr
Newberg, OR 97132-7563 - Phone
- (503) 692-3750
- Fax
- (503) 691-2324
- NPI assigned
- Sep 21, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Jamison, M.D
- Title
- President
- Phone
- (503) 963-2801
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endoscopy Clinic/Center | 261QE0800X | Primary |
Addresses
Primary practice location
879 N Providence Dr
Newberg, OR 97132-7563
Mailing address
541 NE 20TH Ave Ste 225
Portland, OR 97232-2895
Phone (503) 963-2801
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500756748 | Medicaid | OR |
Other names 1
- The Oregon Clinic Endoscopy Center - Newberg
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181108000132 | OR | Part B Supplier - Ambulatory Surgical Center | 8123309614 | Practice locations: Newberg, OR |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba The Oregon Clinic Endoscopy Center - Oregon City
- Endoscopy Clinic/Center
- Oregon City, OR
- NPI 1922558055
8123309614
-
dba The Oregon Clinic Endoscopy Center - Tualatin
- Endoscopy Clinic/Center
- Tualatin, OR
- NPI 1922558063
8123309614
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Gso Equipment Corp Dba the Oregon Clinic Endoscopy Center Newberg
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Gso Equipment Corp
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba The Oregon Clinic Endoscopy Center - Oregon City
- Endoscopy Clinic/Center
- Oregon City, OR
- NPI 1922558055
-
dba The Oregon Clinic Endoscopy Center - Tualatin
- Endoscopy Clinic/Center
- Tualatin, OR
- NPI 1922558063
Locations
1130 Molalla Ave
Oregon City, OR 97045
Phone (503) 692-3750
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Tualatin, OR
- NPI 1811192370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708992000000",
"number": "1407330863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 NE 20TH AVE STE 225",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322895",
"telephone_number": "503-963-2801",
"fax_number": "503-963-2825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "879 N PROVIDENCE DR",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971327563",
"telephone_number": "503-692-3750",
"fax_number": "503-691-2324"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GSO EQUIPMENT CORP",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-21",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A",
"authorized_official_last_name": "JAMISON",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "503-963-2801",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "261QE0800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Endoscopy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500756748",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Oregon Clinic Endoscopy Center - Newberg",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Oregon Clinic Endoscopy Center - Newberg",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newberg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.