NPIMap

Individual provider Active NPI

Sarah Jean Gilman-Short, M.D.

  • Family Medicine Physician
  • Milwaukie, OR
National Provider Identifier
1669799979
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C173938 Issued in CA
Practice address
10330 SE 32ND Ave Ste 325
Milwaukie, OR 97222-6656
Phone
(503) 416-1960
NPI assigned
Apr 26, 2010
Last updated
Apr 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD162037 OR
Family Medicine Physician 207Q00000X C173938 CA Primary

Addresses

Primary practice location

10330 SE 32ND Ave Ste 325
Milwaukie, OR 97222-6656

Mailing address

7320 SW Hunziker Rd Ste 300
Portland, OR 97223-2302
Phone (503) 941-3033

Other identifiers 1

IdentifierTypeStateIssuer
500655053MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211112001787 CA Practitioner - Family Practice 4880830066 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Valleys Health CentersGroup PAC ID 4284685538, 33 clinicians

Practice addresses (Care Compare)

101 Old McCloud Rd
Mount Shasta, CA 96067-2796
Phone (530) 999-9040

37491 Enterprise Dr
Burney, CA 96013-4379
Phone (530) 999-9030

43658 Hwy 299
Fall River Mills, CA 96028
Phone (530) 999-9020

50 Alamo Ave
Weed, CA 96094-2352
Phone (530) 999-9050

701 Pine St
Mount Shasta, CA 96067-2133
Phone (530) 999-9050

PO Box
Suite 277
Bieber, CA 96009

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C173938CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Valleys Health Centers CurrentSince Jun 13, 2022 Accepting new patients
McCloud Healthcare Clinic, Inc. CurrentSince Aug 9, 2021 Accepting new patients
Mountain Valleys Health Centers Current Accepting new patients
McCloud Healthcare Clinic, Inc. CurrentSince Aug 9, 2021 Accepting new patients
Mountain Valleys Health Centers CurrentSince Jun 13, 2022 Accepting new patients
Mayers Memorial Hospital District Current Accepting new patients
Providence Health & Services - Oregon Past Accepting new patients
Neighborhood Health Center Family Medicine Past Accepting new patients
Neighborhood Health Center Family Medicine Past Accepting new patients
Providence Health & Services Oregon Past Accepting new patients

Locations

43563 State Highway 299 E
Fl River Mls, CA 96028
Phone (530) 336-5511

101 Old McCloud Rd
Mount Shasta, CA 96067
Phone (530) 926-5100

50 Alamo Ave
Weed, CA 96094
Phone (530) 938-3491

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73477
  • Direct secure messaging: sgilmanshort678486@direct.ochin.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1669799979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 SW HUNZIKER RD STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972232302",
            "telephone_number": "503-941-3033",
            "fax_number": "503-747-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 SE 32ND AVE STE 325",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226656",
            "telephone_number": "503-416-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMAN-SHORT",
        "first_name": "SARAH",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-26",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD162037",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C173938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500655053",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

Verify at the official NPI Registry.