Active NPI
Jason Pawlowsky, D.O.
- Anesthesiology Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- DO175537
- Practice address
- 3181 SW Sam Jackson Park Rd
Mailcode - Uh2
Portland, OR 97239-3011 - Phone
- (503) 494-7641
- NPI assigned
- Jun 20, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | OT014927 | PA | |
| Internal Medicine Physician | 207R00000X | OT014927 | PA | |
| Anesthesiology Physician | 207L00000X | DO175537 | OR | Primary |
Addresses
Primary practice location
3181 SW Sam Jackson Park Rd
Mailcode - Uh2
Portland, OR 97239-3011
Mailing address
3181 SW Sam Jackson Park Rd
Mailcode - Uh2
Portland, OR 97239-3011
Phone (503) 494-7641
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Philadelphia College of Osteopathic Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
140 Nutt Rd
Phoenixville Hospital
Phoenixville, PA 19460-3906
Phone (484) 586-0227
145 King of Prussia Rd
Radnor, PA 19087-4557
Phone (610) 902-4780
420 W Linfield Trappe Rd Building
Suite 101
Limerick, PA 19468-4278
Phone (484) 975-0404
800 Spruce St
Philadelphia, PA 19107-6130
Phone (215) 829-5664
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO175537 | OR | MD | Anesthesiology Physician |
| OT014927 | PA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Society Hill Anesthesia Consultants, PC | Anesthesiology | Current | Accepting new patients |
Locations
800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867
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.
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1427003219
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenixville, PA
- NPI 1750805552
-
- General Acute Care Hospital
- Phila, PA
- NPI 1063489342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465776000000",
"number": "1639432073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"address_2": "MAILCODE - UH2",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-7641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"address_2": "MAILCODE - UH2",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-7641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAWLOWSKY",
"first_name": "JASON",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-20",
"last_updated": "2016-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "OT014927",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OT014927",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OR",
"license": "DO175537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.