Active NPI
John William Ragsdale, M.D.
- Surgery Physician
- Milwaukie, OR
National Provider Identifier
1417941154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD 14877
- Practice address
- 10330 SE 32ND Ave
Suite 340
Milwaukie, OR 97222-6587 - Phone
- (503) 652-7191
- NPI assigned
- Sep 8, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD 14877 | OR | Primary |
Addresses
Primary practice location
10330 SE 32ND Ave
Suite 340
Milwaukie, OR 97222-6587
Mailing address
10330 SE 32ND Ave
Suite 340
Milwaukie, OR 97222-6587
Phone (503) 652-7191
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 027610 | Medicaid | OR | |
| P00165625 | Other | OR | RAILROAD MEDICARE |
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 |
|---|---|---|---|
| MD 14877 | OR | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Surgical Consultants PC | Surgery | Past | Accepting new patients |
Organizations & group practices 1
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": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329868800000",
"number": "1417941154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10330 SE 32ND AVE",
"address_2": "SUITE 340",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972226587",
"telephone_number": "503-652-7191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10330 SE 32ND AVE",
"address_2": "SUITE 340",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972226587",
"telephone_number": "503-652-7191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAGSDALE",
"first_name": "JOHN",
"middle_name": "WILLIAM",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-08",
"last_updated": "2012-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OR",
"license": "MD 14877",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "027610",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00165625",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milwaukie, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.