Thomas D. Utterback, MD, PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ORMD07612 Issued in OR

Legal business name

THOMAS D. UTTERBACK, MD, PC

Practice address

8051 S Lone Elder Rd
Canby, OR 97013-9127

Phone

(503) 684-1830

Fax

(503) 684-1830

NPI assigned

Aug 8, 2014

Organization subpart

No

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

Authorized official

Name

Thomas D Utterback, M.D.

Title

President

Phone

(503) 684-1830

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1619386133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8051 S LONE ELDER RD",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970139127",
            "telephone_number": "503-684-1830",
            "fax_number": "503-684-1830"
        },
        {
            "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": "503-684-1830",
            "fax_number": "503-684-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS D. UTTERBACK, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-08",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "UTTERBACK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-684-1830",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "ORMD07612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BCBSO",
            "identifier": "100000004607",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240804",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDENCE HEALTH PLAN",
            "identifier": "C93989000003",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zoltan Teglassy, MD
• Robert Wright Templin, RPH
• Therapeutic Associates Inc
• Therapy Experienced
• Thomas D Utterback, MD, PC
• Cole Thompson, DMD
• Thrifty Payless Inc
• Faerynn Tilgner, PT
• Eric Timmons, FNP
• Aaron David Tinkle, DMD

• 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 Aug 8, 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.