Active NPI
Elizabeth Ann Tindall, M.D.
- Rheumatology Physician
- Hillsboro, OR
National Provider Identifier
1457589236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 11344
- Practice address
- 6355 NE Cornell Rd
Suite 100
Hillsboro, OR 97124-5434 - Phone
- (503) 597-3130
- Fax
- (503) 597-3140
- NPI assigned
- Jun 30, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 11344 | OR | Primary |
Addresses
Primary practice location
6355 NE Cornell Rd
Suite 100
Hillsboro, OR 97124-5434
Mailing address
1980 Willamette Falls Dr
Suite 230
West Linn, OR 97068-4668
Phone (503) 638-3987
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 265074 | Medicaid | OR |
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 |
|---|---|---|---|
| 11344 | OR | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portland Rheumatology Clinic LLC | Rheumatology | Past | Accepting new patients |
| Deschutes Rheumatology, LLC | Rheumatology | Past | Accepting new patients |
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.
-
- Rheumatology Physician
- Bend, OR
- NPI 1316189624
-
- Rheumatology Physician
- Portland, OR
- NPI 1801945084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310947200000",
"number": "1457589236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1980 WILLAMETTE FALLS DR",
"address_2": "SUITE 230",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970684668",
"telephone_number": "503-638-3987",
"fax_number": "503-638-2810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6355 NE CORNELL RD",
"address_2": "SUITE 100",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971245434",
"telephone_number": "503-597-3130",
"fax_number": "503-597-3140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TINDALL",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-30",
"last_updated": "2011-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "OR",
"license": "11344",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "265074",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.