Individual provider Active NPI

Jonathan Peter Yarris, M.D.

  • Emergency Medicine Physician
  • Oregon City, OR
National Provider Identifier
1679778179
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
LL16233 Issued in OR
Practice address
1500 Division St
Oregon City, OR 97045-1527
Phone
(503) 656-1631
NPI assigned
Jun 15, 2007
Last updated
Nov 4, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X LL16233 OR Primary

Addresses

Primary practice location

1500 Division St
Oregon City, OR 97045-1527

Mailing address

PO Box 11120
Westminster, CA 92685-1120
Phone (800) 311-6522

Other identifiers 1

IdentifierTypeStateIssuer
2070940MedicaidWA

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
I20080716000422 OR Practitioner - Emergency Medicine 1951474436 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Oregon Health Sciences University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Specialists, LLCGroup PAC ID 4486753639, 19 clinicians

Practice addresses (Care Compare)

1500 Division St
Oregon City, OR 97045-1527
Phone (503) 656-1631

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.12 of 100Reported as group
Quality
100
Improvement activities
40
Cost
90.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LL16233ORMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon Emergency Medicine CurrentSince Oct 27, 2024 Accepting new patients
Emergency Medicine Specialists LLC Emergency Medicine CurrentSince Jul 1, 2008 Accepting new patients
Providence Health & Services - Oregon Emergency Medicine Current Accepting new patients
David Lindquist MD PC Emergency Medicine Past Accepting new patients
Freedman Corporation Emergency Medicine Past Accepting new patients

Locations

200 S Hazel Dell Way
Ste 210
Canby, OR 97013
Phone (503) 263-9550

1500 Division St
Oregon City, OR 97045
Phone (503) 646-1631

Organizations & group practices 5

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 2

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": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225756800000",
    "number": "1679778179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11120",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926851120",
            "telephone_number": "800-311-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 DIVISION ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451527",
            "telephone_number": "503-656-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARRIS",
        "first_name": "JONATHAN",
        "middle_name": "PETER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2008-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "LL16233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2070940",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon City, OR

Sources for this page

Verify at the official NPI Registry.