Portland Surgical, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

PORTLAND SURGICAL, LLC

Doing business as

Portland Surgical

Practice address

103 Redbud Dr
Suite D
Portland, TN 37148-1617

Phone

(615) 323-8306

NPI assigned

May 26, 2006

Last updated

Aug 29, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

HTI HOSPITAL HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Mr. Chuck Locke

Title

VP

Phone

(615) 373-7604

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PORTLAND SURGICAL Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joshua G. Barton, MD

  • Surgery Physician
  • Boise, ID
  • NPI 1265401947
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1548216062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 REDBUD DR",
            "address_2": "SUITE D",
            "city": "PORTLAND",
            "state": "TN",
            "postal_code": "371481617",
            "telephone_number": "615-323-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 REDBUD DR",
            "address_2": "SUITE D",
            "city": "PORTLAND",
            "state": "TN",
            "postal_code": "371481617",
            "telephone_number": "615-323-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND SURGICAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HTI HOSPITAL HOLDINGS, INC.",
        "enumeration_date": "2006-05-26",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "LOCKE",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "615-373-7604",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3734179",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PORTLAND SURGICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Portland Medical
• Portland Nursing & Rehab Center, Inc. (Highland Manor Nursing & Rehab Center)
• Portland Prescription Shop PLLC
• Portland Primary Care LLC
• Portland Primary Care, LLC
• Portland Wellness Center PLLC
• Precision Chiropractic of Portland
• Premise Health of Tennessee Medical PC (Unipres - Portland)
• Marlys K Proctor, P.T.A.
• Progressivehealth Healthspot

• Surgery Physician in Portland, TN
• Providers in Portland, TN by specialty
• Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.

Verify at the official NPI Registry.