Thomas Duncan Utterback, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MD07612 Issued in OR

Practice address

8051 S Lone Elder Rd
Canby, OR 97013-9127

Phone

(503) 263-2400

Fax

(503) 263-2400

NPI assigned

Jan 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Thomas D Utterback, MD, PC

  • Specialist
  • Canby, OR
  • NPI 1710208962
  NPD (past) Authorized official

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1598736308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 942",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970130942",
            "telephone_number": "503-263-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8051 S LONE ELDER RD",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970139127",
            "telephone_number": "503-263-2400",
            "fax_number": "503-263-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTTERBACK",
        "first_name": "THOMAS",
        "middle_name": "DUNCAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "MD07612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lund Tommaso, PHARMD
• Donna M Traaen, LMT
• Monica Tran
• Phat Q Tran, PA-C
• Trent B. Warren, M.D., P.C.
• Valuecore Mental Health
• Dana F Van Der Kieft, PT
• Natalie Kate Van Dreal
• Kelley Van Hook, PT, DPT
• Megan Vea, PT, DPT

• Orthopaedic Surgery Physician in Canby, OR
• Providers in Canby, OR by specialty
• Orthopaedic Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.