Eric William Shilland, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO27920 Issued in OR

Practice address

8084 SE 15TH Ave
Portland, OR 97202-6662

Phone

(503) 231-3371

Fax

(503) 716-4681

NPI assigned

May 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  OR

  Medicare reassignment NPD

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1629025473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8084 SE 15TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026662",
            "telephone_number": "503-231-3371",
            "fax_number": "503-716-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8084 SE 15TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026662",
            "telephone_number": "503-231-3371",
            "fax_number": "503-716-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHILLAND",
        "first_name": "ERIC",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "OR",
            "license": "DO27920",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO27920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629025473",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226982",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard L Shih, M.D.
• Victoria Horea Shihadah, AUD
• Kayleen N. Shiiba, M.D.
• Samuel Gardner Shiley, MD
• Casey Shillam, RN
• Joel M. Shilling, M.D.
• Jeni Lynne Shilman, LCSW
• Sooyeon Shim, D.M.D
• Uhng-Choon Brenda Shim, M.D.
• Jason Shima

• Family Medicine Physician in Portland, OR
• Providers in Portland, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.