Amy Suzanne Thurmond, MD

Key facts

NPI

1487729281

Entity type

Individual (NPI type 1)

Primary specialty

Diagnostic Radiology Physician 2085R0202X

License

MD13691 (OR)

Practice address

17050 Pilkington Rd
130
Lake Oswego, OR 97035-6306

Phone

(503) 305-5432

Fax

(503) 305-7294

NPI assigned

Nov 21, 2006

Sex

Female

Sole proprietor

No

Organizations & group practices 8

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.

• OB GYN Breast Imaging PC Mammography Radiologic Technologist · Lake Oswego, OR · NPI 1477936599
  Medicare reassignment NPD OR
• Bridgeport MRI LLC Physiological Laboratory · Tigard, OR · NPI 1538107941
  NPD
• Clearview MRI LLC Physiological Laboratory · Beaverton, OR · NPI 1295075125
  NPD
• Col Northwest LLC Physiological Laboratory · Happy Valley, OR · NPI 1023065307
  NPD
• Mountainview MRI LLC Physiological Laboratory · Gresham, OR · NPI 1104875053
  NPD
• Anesthesia Associates Northwest LLC Anesthesiology Physician · Milwaukie, OR · NPI 1548281751
  NPD (past)
• Epic Imaging-West, Inc. Diagnostic Radiology Physician · Beaverton, OR · NPI 1407921208
  NPD (past) DIAGNOSTIC RADIOLOGY
• Tualatin Imaging P C Diagnostic Radiology Physician · Tualatin, OR · NPI 1295807055
  NPD (past) DIAGNOSTIC RADIOLOGY

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Providence Health & Services - Oregon General Acute Care Hospital · Portland, OR · NPI 1003991845
  Care Compare affiliation Hospital
• Providence Health & Services - Oregon Case Manager/Care Coordinator · Portland, OR · NPI 1891822995
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Diagnostic Radiology

Education

University of California, Geffen School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Portland Medical Center Hospital · Portland, OR · CCN 380061

Medicare participation

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 22, 2015.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1487729281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17050 PILKINGTON RD",
            "address_2": "130",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970356306",
            "telephone_number": "503-305-5432",
            "fax_number": "503-305-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17050 PILKINGTON RD",
            "address_2": "130",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970356306",
            "telephone_number": "503-305-5432",
            "fax_number": "503-305-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURMOND",
        "first_name": "AMY",
        "middle_name": "SUZANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD13691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021675",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kristie Thudium
• Tabitha Renee Thurston, LMT
• Candace Tickle
• Maria Tinio, MS, CF-SLP
• Eryn M Tomlinson, DOULA
• Andrea C. Tongue, M.D.

All providers in Lake Oswego, OR · Diagnostic Radiology Physician in Oregon