Skyline Anesthesia LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD24567 Issued in OR

Legal business name

SKYLINE ANESTHESIA LLC

Practice address

8995 SW Miley Rd
Suite 204
Wilsonville, OR 97070-5484

Phone

(503) 539-2964

NPI assigned

Feb 1, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Kent Meckling, MD

Title

Owner

Phone

(503) 539-2964

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454284800000",
    "number": "1548628928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 821350",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986820030",
            "telephone_number": "360-687-5221",
            "fax_number": "360-666-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8995 SW MILEY RD",
            "address_2": "SUITE 204",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970705484",
            "telephone_number": "503-539-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-01",
        "last_updated": "2016-02-01",
        "status": "A",
        "authorized_official_last_name": "MECKLING",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-539-2964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "OR",
            "license": "MD24567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Raquel Sherman, PTA
• Emilio Shivers, LMT
• Tawnya Shope, CADC II, QMHA-R
• Megan Siefkas, COTA/L
• Cameron M Sizemore, RN
• Amber Nicole Dodgson Sloan, LMT
• Amanda M Smith-Treadwell, SLP
• Andrew Paul Smith, LMT
• Anna Smith, OTD, OTR/L, MHA
• Beverly J Smith, FNP

• Anesthesiology Physician in Wilsonville, OR
• Providers in Wilsonville, OR by specialty
• Anesthesiology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.