Individual provider Active NPI

Amy Suzanne Thurmond, MD

  • Diagnostic Radiology Physician
  • Lake Oswego, OR
National Provider Identifier
1487729281
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD13691 Issued in 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
Last updated
Jul 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD13691 OR Primary

Addresses

Primary practice location

17050 Pilkington Rd
130
Lake Oswego, OR 97035-6306

Mailing address

17050 Pilkington Rd
130
Lake Oswego, OR 97035-6306
Phone (503) 305-5432

Other identifiers 1

IdentifierTypeStateIssuer
021675MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070517000155 OR Practitioner - Diagnostic Radiology 6002809258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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)

17050 Pilkington Rd
Suite 130
Lake Oswego, OR 97035-6308
Phone (503) 305-5432

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Col Northwest LLC CurrentSince Sep 1, 2015 Accepting new patients
Mountainview MRI LLC CurrentSince Sep 1, 2015 Accepting new patients
Clearview MRI LLC CurrentSince Sep 1, 2015 Accepting new patients
OB GYN Breast Imaging PC CurrentSince Jul 20, 2016 Accepting new patients
Bridgeport MRI LLC CurrentSince Sep 1, 2015 Accepting new patients
Tualatin Imaging P C Diagnostic Radiology PastSince Mar 12, 2024 Accepting new patients
Epic Imaging-West, Inc. Diagnostic Radiology Past Accepting new patients
Anesthesia Associates Northwest LLC Past Accepting new patients

Locations

14780 SW Osprey Dr
Ste 260
Beaverton, OR 97007

24076 SE Stark St
Ste 180
Gresham, OR 97030
Phone (503) 661-6500

17050 Pilkington Rd
Ste 130
Lake Oswego, OR 97035
Phone (503) 305-5432

9200 SE 91st Ave
Ste 330
Portland, OR 97086
Phone (503) 774-7700

15755 SW Sequoia Pkwy
Ste 100
Tigard, OR 97224
Phone (503) 254-7237

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "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": []
}

Other providers in Lake Oswego, OR

Sources for this page

Verify at the official NPI Registry.