Active NPI
Joshua Stafford May, M.D.
- Dermatology Physician
- Bend, OR
National Provider Identifier
1538366240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD154167
- Practice address
- 2747 NE Conners Ave
Bend, OR 97701-8738 - Phone
- (541) 382-5712
- Fax
- (541) 382-2605
- NPI assigned
- Jun 27, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD154167 | OR | Primary |
Addresses
Primary practice location
2747 NE Conners Ave
Bend, OR 97701-8738
Mailing address
2747 NE Conners Ave
Bend, OR 97701-8738
Phone (541) 382-5712
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500636491 | 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
- Dermatology
- Education
- Louisiana State University School of Medicine in Shreveport, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2747 NE Conners Ave
Bend, OR 97701-8738
Phone (541) 382-5712
Hospital & facility affiliations
- Ohsu Hospital and Clinics
- St Charles Medical Center - Bend
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 103 |
| Removal of skin lesions | 4126 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 763 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain West Derm - Blackhart PLLC | Dermatology | Current | Accepting new patients |
| Mountain West Derm-Blackhart, PLLC | Dermatology | Current | Accepting new patients |
| Mountain West Derm - Blackhart PLLC | Dermatology | Past | Accepting new patients |
Locations
2747 NE Conners Ave
Bend, OR 97701
Phone (541) 322-1980
Organizations & group practices 3
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.
-
- Dermatology Physician
- Bend, OR
- NPI 1447764741
-
- Dermatology Physician
- Tigard, OR
- NPI 1316656994
-
- Dermatology Physician
- Roseburg, OR
- NPI 1891467577
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Bend, OR
- NPI 1164675963
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1609824010
-
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444780800000",
"number": "1538366240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2747 NE CONNERS AVE",
"city": "BEND",
"state": "OR",
"postal_code": "977018738",
"telephone_number": "541-382-5712",
"fax_number": "541-382-2605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2747 NE CONNERS AVE",
"city": "BEND",
"state": "OR",
"postal_code": "977018738",
"telephone_number": "541-382-5712",
"fax_number": "541-382-2605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAY",
"first_name": "JOSHUA",
"middle_name": "STAFFORD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-27",
"last_updated": "2015-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OR",
"license": "MD154167",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500636491",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.