Active NPI
Maurice Ernest Giraudier, M.D.
- Diagnostic Radiology Physician
- Portland, OR
National Provider Identifier
1528171303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD11540
- Practice address
- 3500 North Interstate Ave
Interstate Medical Office South
Portland, OR 97227-1196 - Phone
- (503) 331-6154
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD11540 | OR | Primary |
| Diagnostic Radiology Physician | 2085R0202X | MD00018055 | WA |
Addresses
Primary practice location
3500 North Interstate Ave
Interstate Medical Office South
Portland, OR 97227-1196
Mailing address
3500 N Interstate Ave
Kaiser Permanente Interstate Medical Office S
Portland, OR 97227-1196
Phone (503) 285-9321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2622436 | Medicaid | OR |
Other names 1
- Dr. Maurice E. J. Giraudier
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD11540 | OR | MD | Diagnostic Radiology Physician |
| MD00018055 | WA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newberg Radiology Associates | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Diagnostic Radiology Physician
- Newberg, OR
- NPI 1063466209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1528171303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 N INTERSTATE AVE",
"address_2": "KAISER PERMANENTE INTERSTATE MEDICAL OFFICE S",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972271196",
"telephone_number": "503-285-9321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 NORTH INTERSTATE AVE",
"address_2": "INTERSTATE MEDICAL OFFICE SOUTH",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972271196",
"telephone_number": "503-331-6154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIRAUDIER",
"first_name": "MAURICE",
"middle_name": "ERNEST",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OR",
"license": "MD11540",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD00018055",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2622436",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MAURICE",
"last_name": "GIRAUDIER",
"middle_name": "E. J.",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
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 Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.