Active NPI
Thomas Yunhan Pak, D.O.
- Anesthesiology Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- DO154295
- Practice address
- 707 SW Washington St
Ste 700
Portland, OR 97205-3536 - Phone
- (503) 299-9906
- Fax
- (503) 225-9002
- NPI assigned
- Aug 18, 2008
- Last updated
- Oct 19, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | DO154295 | OR | Primary |
| Pediatric Anesthesiology Physician | 207LP3000X | 036121349 | IL |
Addresses
Primary practice location
707 SW Washington St
Ste 700
Portland, OR 97205-3536
Mailing address
PO Box 35147
#1801
Seattle, WA 98124-5147
Phone (503) 299-9906
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036121349 | Other | IL | STATE LICENCE |
| 500636878 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Illinois Medical College, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2211 NE 139TH St
Vancouver, WA 98686-2742
Phone (360) 487-1000
707 SW Washington St
Suite 700
Portland, OR 97205-3523
Phone (503) 299-9906
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Anesthesiology Group PC | Anesthesiology | Current | Accepting new patients |
| Advocate Southwest Ambulatory Surgery Center LLC | Past | Accepting new patients | |
| Advocate Southwest Ambulatory Surgery Center LLC | Anesthesiology | Past | Accepting new patients |
| Midwest Anesthesiologists, LTD. | Anesthesiology | Past | Accepting new patients |
| Oag Trauma Services LLC | Anesthesiology | Past | Accepting new patients |
Locations
1001 N Providence Dr
Newberg, OR 97132
Phone (503) 216-1538
707 SW Washington St
Portland, OR 97205
707 SW Washington St
Ste 700
Portland, OR 97205
1445 State St
Salem, OR 97301
Phone (503) 315-7338
2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Portland, OR
- NPI 1548669948
-
dba Tinley Woods Surgery Center
- Ambulatory Surgical Clinic/Center
- Tinley Park, IL
- NPI 1316009194
-
dba Tinley Woods Anesthesia Services
- Anesthesiology Physician
- Tinley Park, IL
- NPI 1336290386
-
- Interventional Pain Medicine Physician
- Oak Lawn, IL
- NPI 1447209390
Anesthesiology
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Unity Center for Behavioral Health-PES
- General Acute Care Hospital
- Portland, OR
- NPI 1003367491
-
dba Legacy Laboratory Services
- Clinical Medical Laboratory
- Portland, OR
- NPI 1295756898
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1831112358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539907200000",
"number": "1427204817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35147",
"address_2": "#1801",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981245147",
"telephone_number": "503-299-9906",
"fax_number": "503-225-9002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 SW WASHINGTON ST",
"address_2": "STE 700",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972053536",
"telephone_number": "503-299-9906",
"fax_number": "503-225-9002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAK",
"first_name": "THOMAS",
"middle_name": "YUNHAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-18",
"last_updated": "2018-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OR",
"license": "DO154295",
"primary": true
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "IL",
"license": "036121349",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENCE",
"identifier": "036121349",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500636878",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}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 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.