Individual provider Active NPI

Joel A. James, PA

  • Dermatology Physician
  • Keizer, OR
National Provider Identifier
1497954937
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
PA00628 Issued in OR
Practice address
5900 Inland Shores Way
Suite 202
Keizer, OR 97303
Phone
(503) 463-6799
Fax
(503) 463-6771
NPI assigned
Jul 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA00628 OR
Dermatology Physician 207N00000X PA00628 OR Primary

Addresses

Primary practice location

5900 Inland Shores Way
Suite 202
Keizer, OR 97303

Mailing address

5900 Inland Shores Way
Suite 202
Keizer, OR 97303
Phone (503) 463-6799

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071011000040 OR Practitioner - Physician Assistant 9436245156 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silver Falls Dermatology LLCGroup PAC ID 5890863492, 100 clinicians

Practice addresses (Care Compare)

132 Glynbrook St N
Suite a
Keizer, OR 97303-5796
Phone (503) 362-8385

1390 Waverly Dr SE
Albany, OR 97322-6945
Phone (503) 362-8385

1793 13TH St SE
Salem, OR 97302-2541
Phone (503) 362-8385

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA00628ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Falls Dermatology, LLC Dermatology CurrentSince Oct 15, 2020 Accepting new patients
Dermatology Northwest LLC PastSince Aug 1, 2012 Accepting new patients
Victor R. Michalak Past Accepting new patients

Locations

1390 Waverly Dr SE
Albany, OR 97322
Phone (541) 967-8385

375 Park Ave
Ste 5
Coos Bay, OR 97420
Phone (541) 267-7543

831 NW Council Dr
Ste 301
Gresham, OR 97030
Phone (503) 661-2577

132 Glynbrook St N
Ste A
Keizer, OR 97303

3132 State St
Ste 110
Medford, OR 97504
Phone (541) 732-1686

904 SW Bay St
Newport, OR 97365
Phone (541) 683-2020

1793 13th St SE
Salem, OR 97302
Phone 50336283851283

Interoperability endpoints

  • Direct secure messaging: jjames@frontierdermpartners.emadirect.md
  • Direct secure messaging: joel.james.1@17725.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1184371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1497954937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 INLAND SHORES WAY",
            "address_2": "SUITE 202",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "97303",
            "telephone_number": "503-463-6799",
            "fax_number": "503-463-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 INLAND SHORES WAY",
            "address_2": "SUITE 202",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "97303",
            "telephone_number": "503-463-6799",
            "fax_number": "503-463-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "JOEL",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-14",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA00628",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OR",
            "license": "PA00628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keizer, OR

Sources for this page

Verify at the official NPI Registry.