Active NPI
Stephanie Ann McAndrew, MD
- Family Medicine Physician
- Portland, OR
National Provider Identifier
1508879677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD28315
- Practice address
- 12710 SE Division St
Portland, OR 97236-3134 - Phone
- (503) 988-3601
- NPI assigned
- Aug 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD28315 | OR | Primary |
Addresses
Primary practice location
12710 SE Division St
Portland, OR 97236-3134
Mailing address
PO Box 6149
Beaverton, OR 97007-0149
Phone (503) 352-8657
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022959 | Medicaid | OR |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10700 SW Beaverton Hillsdale Hwy
Suite 11
Beaverton, OR 97005-3035
Phone (503) 641-1475
2725 SW Cedar Hills Blvd
Suite 200
Beaverton, OR 97005-1435
Phone (503) 352-6000
Hospital & facility affiliations
- Divine Mercy Home Health, LLC
- Hillsboro Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD28315 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Landmark Health of Oregon LLC | Past | Accepting new patients | |
| The New York and Presbyterian Hospital | Family Medicine | Past | Accepting new patients |
| The New York and Presbyterian Hospital | Past | Accepting new patients |
Interoperability endpoints
- smcandrew8804@direct.ochin.org
- smcandrew@landmarkhealth-direct.org
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.
-
- Federally Qualified Health Center (FQHC)
- Cornelius, OR
- NPI 1679528012
-
- General Practice Physician
- Tigard, OR
- NPI 1205226214
-
- Community/Retail Pharmacy
- White Plains, NY
- NPI 1457057226
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Beaverton, OR
- NPI 1932556750
-
- Psychiatric Hospital
- Hillsboro, OR
- NPI 1073817714
-
- General Acute Care Hospital
- Hillsboro, OR
- NPI 1275591984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534723200000",
"number": "1508879677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6149",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970070149",
"telephone_number": "503-352-8657",
"fax_number": "503-352-8658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12710 SE DIVISION ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972363134",
"telephone_number": "503-988-3601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCANDREW",
"first_name": "STEPHANIE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2018-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD28315",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022959",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.