Northstar Anesthesia of Oregon LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

NORTHSTAR ANESTHESIA OF OREGON LLC

Practice address

2525 12TH St SE Ste 110
Salem, OR 97302-2281

Phone

(503) 364-5704

NPI assigned

Aug 7, 2025

Last updated

Nov 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joshua Lumbley, MD

Title

President

Phone

(617) 935-5799

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 9

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.

• Tyson Summers, CRNA

  • Certified Registered Nurse Anesthetist
  • Albany, OR
  • NPI 1679907323

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Michael Wray, CRNA

  • Certified Registered Nurse Anesthetist
  • Silverton, OR
  • NPI 1790730059

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Randall C. Bissinger, MD

  • Anesthesiology Physician
  • Corvallis, OR
  • NPI 1255305462
  Medicare reassignment NPD
• Isaac J Kobzeff, CRNA

  • Certified Registered Nurse Anesthetist
  • Silverton, OR
  • NPI 1851338263

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Jentry B Lloyd, D.O.

  • Anesthesiology Physician
  • Corvallis, OR
  • NPI 1245642685
  Medicare reassignment NPD
• Melvin D Wade, MD

  • Anesthesiology Physician
  • Salem, OR
  • NPI 1053320572
  Medicare reassignment NPD
• Joshua S Morrow, DNAP, CRNA

  • Certified Registered Nurse Anesthetist
  • Albany, OR
  • NPI 1689459497
  Medicare reassignment
• Steven J. Schaefer, M.D.

  • Anesthesiology Physician
  • Portland, OR
  • NPI 1720220262
  Medicare reassignment
• Romeo Nazih Kaddoum, M.D.

  • Anesthesiology Physician
  • Detroit, MI
  • NPI 1962600098
  NPD

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1487539771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6225 N STATE HIGHWAY 161 STE 200",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382241",
            "telephone_number": "214-687-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 12TH ST SE STE 110",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022281",
            "telephone_number": "503-364-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR ANESTHESIA OF OREGON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "LUMBLEY",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-935-5799",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Northcutt
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• Northland Hearing Centers, Inc. (All American Hearing Aids)
• Mackenzie Northrup, AUD
• Northwest Durable Medical Equipment, Inc.
• Northwest Human Services, Inc. (Host)
• Northwest Human Services, Inc. (West Salem Clinic Mental Health)
• Northwest Human Services, Inc. (Mobile Medical Unit 1)
• Northwest Human Services, Inc. (Quick Care Clinic)

• Anesthesiology Physician in Salem, OR
• Providers in Salem, OR by specialty
• Anesthesiology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.