Individual provider Active NPI

Timothy W Stewart, MD

  • Obstetrics & Gynecology Physician
  • Hillsboro, OR
National Provider Identifier
1669455952
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD14489 Issued in OR
Practice address
364 SE 8TH Ave Ste 205
Hillsboro, OR 97123-4249
Phone
(503) 681-4145
Fax
(503) 681-4146
NPI assigned
Nov 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD14489 OR Primary

Addresses

Primary practice location

364 SE 8TH Ave Ste 205
Hillsboro, OR 97123-4249

Mailing address

12215 NW Laidlaw Rd
Portland, OR 97229-2562
Phone (503) 804-5845

Other identifiers 2

IdentifierTypeStateIssuer
R106585OtherORMEDICARE PTAN
213660MedicaidOR

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101021001130 OR Practitioner - Obstetrics/Gynecology 7719170745 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD14489ORMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tuality Healthcare Current Accepting new patients
Tuality Medical Group LLC CurrentSince Jan 1, 2021 Accepting new patients
Silverton Health CurrentSince May 7, 2020 Accepting new patients
Northwest Medical Foundation of Tillamook Current Accepting new patients
Silverton Health CurrentSince May 7, 2020 Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince Dec 14, 2022 Accepting new patients
Silverton Health Current Accepting new patients
Tuality Medical Group LLC CurrentSince Jan 1, 2021 Accepting new patients
Saint Alphonsus Medical Center- Ontario Inc CurrentSince Sep 7, 2019 Accepting new patients
Saint Alphonsus Medical Center- Ontario Inc CurrentSince Sep 7, 2019 Accepting new patients
Saint Alphonsus Medical Center- Ontario Inc Obstetrics & Gynecology Current Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince Dec 14, 2022 Accepting new patients
Northwest Urology, LLC Past Accepting new patients

Locations

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

364 SE 8th Ave
Ste 205
Hillsboro, OR 97123
Phone (503) 681-4134

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

351 SW 9th St
Ontario, OR 97914
Phone (541) 881-7000

1050 SW 3rd Ave
Ste 1600
Ontario, OR 97914
Phone (541) 881-2360

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

1000 3rd St
#M
Tillamook, OR 97141
Phone (503) 815-2260

1000 3rd St
Tillamook, OR 97141
Phone (503) 251-6129

1011 3rd St
Tillamook, OR 97141
Phone (503) 842-2001

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1669455952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12215 NW LAIDLAW RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972292562",
            "telephone_number": "503-804-5845",
            "fax_number": "503-297-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 SE 8TH AVE STE 205",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234249",
            "telephone_number": "503-681-4145",
            "fax_number": "503-681-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "TIMOTHY",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2021-05-14",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD14489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "R106585",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213660",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.