Individual provider Active NPI

Gregory Lloyd Combs, M.D.

  • Plastic Surgery Physician
  • West Linn, OR
National Provider Identifier
1609891035
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD15245 Issued in OR
Practice address
1914 Willamette Falls Dr
Suite 210
West Linn, OR 97068-4688
Phone
(503) 655-9727
Fax
(503) 655-9865
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MD15245 OR Primary
Surgery of the Hand (Surgery) Physician 2086S0105X MD15245 OR

Addresses

Primary practice location

1914 Willamette Falls Dr
Suite 210
West Linn, OR 97068-4688

Mailing address

1914 Willamette Falls Dr
Suite 210
West Linn, OR 97068-4688
Phone (503) 655-9727

Other identifiers 1

IdentifierTypeStateIssuer
043492MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD15245ORMDPlastic Surgery Physician
15245ORMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Karl O. Wustrack,MD,PC Plastic Surgery Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1609891035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 WILLAMETTE FALLS DR",
            "address_2": "SUITE 210",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684688",
            "telephone_number": "503-655-9727",
            "fax_number": "503-655-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 WILLAMETTE FALLS DR",
            "address_2": "SUITE 210",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684688",
            "telephone_number": "503-655-9727",
            "fax_number": "503-655-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMBS",
        "first_name": "GREGORY",
        "middle_name": "LLOYD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OR",
            "license": "MD15245",
            "primary": true
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "OR",
            "license": "MD15245",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043492",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.