NPIMap

Organization Active NPI

On-Site Anesthesia Services Inc

  • Certified Registered Nurse Anesthetist
  • Lake Oswego, OR
National Provider Identifier
1669417176
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
ON-SITE ANESTHESIA SERVICES INC
Practice address
333 S State St # V111
Lake Oswego, OR 97034-3932
Phone
(503) 548-4770
Fax
(503) 655-3318
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Mr. Grant C Diggles
Title
Ceo
Phone
(503) 548-4770

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

333 S State St # V111
Lake Oswego, OR 97034-3932

Mailing address

PO Box 4800
Unit 38
Portland, OR 97208-4800
Phone (503) 655-3851

Other identifiers 1

IdentifierTypeStateIssuer
286978MedicaidOR

Other names 1

  • Outpatient Anesthesia Services of Oregon Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040203000503 OR Part B Supplier - Clinic/Group Practice 7214820448 Receives reassigned benefits from 32 practitioners
Practice locations: Salem, OR; Portland, OR; Lake Oswego, OR; Beaverton, OR; Tualatin, OR

National Provider Directory

National Provider Directory

Locations

831 NW Council Dr
Ste 300
Gresham, OR 97030
Phone (503) 258-4600

4800 Meadows Rd
Ste 100
Lake Oswego, OR 97035
Phone (503) 697-9777

333 S State St
#V111
Lake Oswego, OR 97034
Phone (503) 548-4770

10305 SW Parkway
Ste 101
Portland, OR 97225
Phone (971) 222-0334

18765 SW Boones Ferry Rd
Ste 325
Tualatin, OR 97062

1830 Blankenship Rd
Ste 275
West Linn, OR 97068
Phone (503) 655-3851

102 W Fourth Plain Blvd
Vancouver, WA 98660
Phone (360) 696-0445

Practitioners & affiliated clinicians

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1669417176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4800",
            "address_2": "UNIT 38",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084800",
            "telephone_number": "503-655-3851",
            "fax_number": "503-655-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S STATE ST # V111",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343932",
            "telephone_number": "503-548-4770",
            "fax_number": "503-655-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON-SITE ANESTHESIA SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "DIGGLES",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-548-4770",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286978",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outpatient Anesthesia Services of Oregon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.