NPIMap

Organization Active NPI

Yale S. Popowich, M.D., P.C.

  • Plastic Surgery Physician
  • Portland, OR
National Provider Identifier
1457638884
Registry record updated Jul 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD266661 Issued in OR
Legal business name
YALE S. POPOWICH, M.D., P.C.
Practice address
140 NW 14TH Ave
Portland, OR 97209-2601
Phone
(503) 546-1664
NPI assigned
Nov 14, 2011
Last updated
Jul 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2012

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

Authorized official

Name
Yale S Popowich, MD
Title
Physician
Phone
(503) 546-1664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X MD266661 OR Primary

Addresses

Primary practice location

140 NW 14TH Ave
Portland, OR 97209-2601

Mailing address

140 NW 14TH Ave
Portland, OR 97209-2601
Phone (503) 546-1664

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343260800000",
    "number": "1457638884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 NW 14TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092601",
            "telephone_number": "503-546-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 NW 14TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092601",
            "telephone_number": "503-546-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YALE S. POPOWICH, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2012-07-26",
        "status": "A",
        "authorized_official_last_name": "POPOWICH",
        "authorized_official_first_name": "YALE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "503-546-1664",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "OR",
            "license": "MD266661",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 26, 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.

Verify at the official NPI Registry.