Active NPI
Dr N GYN
- Obstetrics & Gynecology Physician
- Lake Oswego, OR
National Provider Identifier
1558654178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 13666
- Legal business name
- DR N GYN
- Practice address
- 17020 Pilkington Rd
Lake Oswego, OR 97035-5352 - Phone
- (503) 908-1646
- Fax
- (503) 908-1648
- NPI assigned
- May 16, 2011
- Last updated
- Sep 6, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy J Salisbury, MD
- Title
- Owner/Physician
- Phone
- (503) 908-1646
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 13666 | OR | Primary |
Addresses
Primary practice location
17020 Pilkington Rd
Lake Oswego, OR 97035-5352
Mailing address
17020 Pilkington Rd
Lake Oswego, OR 97035-5352
Phone (503) 908-1646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 162370 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
17020 Pilkington Rd
Lake Oswego, OR 97035
Phone (503) 908-1646
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Obstetrics & Gynecology Physician
- Lake Oswego, OR
- NPI 1801039623
-
- Physician Assistant
- Lake Oswego, OR
- NPI 1437675436
-
- Obstetrics & Gynecology Physician
- Oregon City, OR
- NPI 1669439113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1315267200000",
"number": "1558654178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17020 PILKINGTON RD",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970355352",
"telephone_number": "503-908-1646",
"fax_number": "503-908-1648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17020 PILKINGTON RD",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970355352",
"telephone_number": "503-908-1646",
"fax_number": "503-908-1648"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR N GYN",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-16",
"last_updated": "2011-09-06",
"status": "A",
"authorized_official_last_name": "SALISBURY",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "503-908-1646",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OR",
"license": "13666",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "162370",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.