Individual provider Active NPI

Emily Patterson Jones, M.D.

  • Ophthalmology Physician
  • Portland, OR
National Provider Identifier
1699882902
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD25236 Issued in OR
Practice address
1040 NW 22ND Avenue
Portland, OR 97210-3049
Phone
(503) 413-8202
Fax
(503) 413-6937
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD 00045471 WA
Ophthalmology Physician 207W00000X MD 25236 OR
Ophthalmology Physician 207W00000X MD25236 OR Primary

Addresses

Primary practice location

1040 NW 22ND Avenue
Portland, OR 97210-3049

Mailing address

1040 NW 22ND Avenue
Ste. 200
Portland, OR 97210-3049
Phone (503) 413-8202

Other practice location 1

2525 NE 139th St Ste 280
Vancouver, WA 98686-2719
Phone (360) 882-2778

Other identifiers 1

IdentifierTypeStateIssuer
500603823MedicaidOR

Other names 1

  • Emily Lynne Patterson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20051006000849 WA Practitioner - Ophthalmology 7911971122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Arizona College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Vancouver Clinic Inc PSGroup PAC ID 3173436490, 580 clinicians

Practice addresses (Care Compare)

2525 NE 139TH St
Vancouver, WA 98686-2719
Phone (360) 882-2778

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 25236ORMDOphthalmology Physician
MD 00045471WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Vancouver Clinic Inc PS CurrentSince Feb 17, 2020 Accepting new patients
The Vancouver Clinic Inc PS CurrentSince Feb 17, 2020 Accepting new patients
The Vancouver Clinic Pharmacy Past Accepting new patients

Locations

2525 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1500

700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500

2525 NE 139th St
Ste 280
Vancouver, WA 98686

Interoperability endpoints

  • Direct secure messaging: ejones14615@tvc-direct.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1699882902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 NW 22ND AVENUE",
            "address_2": "STE. 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103049",
            "telephone_number": "503-413-8202",
            "fax_number": "503-413-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 NW 22ND AVENUE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103049",
            "telephone_number": "503-413-8202",
            "fax_number": "503-413-6937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 NE 139th St Ste 280",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986862719",
            "country_code": "US",
            "telephone_number": "360-882-2778",
            "fax_number": "360-604-1780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "EMILY",
        "middle_name": "PATTERSON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD 00045471",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD 25236",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD25236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500603823",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "PATTERSON",
            "middle_name": "LYNNE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.