NPIMap

Organization Active NPI

Osteopathic Medical Associates

  • Neuromusculoskeletal Medicine & OMM Physician
  • Milwaukie, OR
National Provider Identifier
1457555666
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
433453 Issued in OR
Legal business name
OSTEOPATHIC MEDICAL ASSOCIATES
Practice address
6564 SE Lake Rd Ste 101
Milwaukie, OR 97222-2138
Phone
(503) 236-2303
Fax
(503) 236-2614
NPI assigned
Jun 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Mr. Edward Keim Goering, D.O.NPI 1962424481
Title
Owner
Phone
(503) 236-2303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204D00000X 433453 OR Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 433453 OR
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 433453 OR
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 433453 OR

Addresses

Primary practice location

6564 SE Lake Rd Ste 101
Milwaukie, OR 97222-2138

Mailing address

6564 SE Lake Rd Ste 101
Milwaukie, OR 97222-2138
Phone (503) 236-2303

National Provider Directory

National Provider Directory

Locations

6564 SE Lake Rd
Ste 101
Milwaukie, OR 97222
Phone (503) 236-2303

2816 SE Steele St
Ste 8
Portland, OR 97202
Phone (503) 236-2303

Practitioners & affiliated clinicians

Practitioners 7

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": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1457555666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6564 SE LAKE RD STE 101",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222138",
            "telephone_number": "503-236-2303",
            "fax_number": "503-236-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6564 SE LAKE RD STE 101",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222138",
            "telephone_number": "503-236-2303",
            "fax_number": "503-236-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSTEOPATHIC MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "GOERING",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "KEIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-236-2303",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "OR",
            "license": "433453",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "433453",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OR",
            "license": "433453",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "433453",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jul 8, 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.