Pacific Digestive Associates, P.C.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

071559 Issued in OR

Legal business name

PACIFIC DIGESTIVE ASSOCIATES, P.C.

Practice address

15775 SE 82ND Dr
Clackamas, OR 97015-8551

Phone

(503) 722-9155

Fax

(503) 722-0420

NPI assigned

Jan 28, 2006

Organization subpart

No

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

Authorized official

Name

Linda Williams

Title

Office Manager

Phone

(503) 496-0354

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pacific Digestive Endoscopy Center Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anne Marie Breitinger, MD

  • Gastroenterology Physician
  • Milwaukie, OR
  • NPI 1871772442
  NPD (past)
• William Myron Ferrin, MD

  • Gastroenterology Physician
  • Oregon City, OR
  • NPI 1568458156
  NPD (past)
• Lee Jayson Stone, MD

  • Gastroenterology Physician
  • Spokane, WA
  • NPI 1073584314
  NPD (past)

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

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1477524577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15775 SE 82ND DR",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970158551",
            "telephone_number": "503-722-9155",
            "fax_number": "503-722-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15775 SE 82ND DR",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970158551",
            "telephone_number": "503-722-9155",
            "fax_number": "503-722-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC DIGESTIVE ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-28",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-496-0354"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OR",
            "license": "071559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269582",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Digestive Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Anne Novak Ott, DO
• Outside in
• Jesssica Jamaica Owens, LMT
• Margaret Tracy Owens, CRNA
• Pacific Digestive Associates
• Pacific Northwest Renal Services, L.L.C.
• Pacific Optometry Services LLC
• Frank John Pacosa, P.A.
• Meghan Padgett
• Mario Adan Padilla

• Ambulatory Surgical Clinic/Center in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Ambulatory Surgical Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.