Individual provider Active NPI

John J Coen, MD

  • Orthopaedic Surgery Physician
  • Oregon City, OR
National Provider Identifier
1740278969
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD21639 Issued in OR
Practice address
1508 Division St Ste 105
Oregon City, OR 97045-1584
Phone
(503) 656-0836
Fax
(503) 656-9464
NPI assigned
Oct 11, 2005
Last updated
Jan 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD21639 OR Primary

Addresses

Primary practice location

1508 Division St Ste 105
Oregon City, OR 97045-1584

Mailing address

1508 Division St Ste 105
Oregon City, OR 97045-1584
Phone (503) 656-0836

Other identifiers 2

IdentifierTypeStateIssuer
133948MedicaidOR
R224040OtherORINDIVIDUAL PTAN

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
I20041005000247 OR Practitioner - Orthopedic Surgery 6709773906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Northwestern University Feinberg Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regenerative Orthopedic Center LLCGroup PAC ID 0749640597, 27 clinicians

Practice addresses (Care Compare)

7401 SW Washo CT
Suite 100
Tualatin, OR 97062-8342
Phone (503) 656-0836

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement49
Knee replacement92
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD21639ORMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regenerative Orthopedic Center LLC Orthopaedic Surgery CurrentSince Jul 1, 2023 Accepting new patients
Regenerative Orthopedic Center LLC Orthopaedic Surgery CurrentSince Jul 1, 2023 Accepting new patients

Locations

1508 Division St
Ste 105
Oregon City, OR 97045
Phone (503) 656-0836

15755 SW Sequoia Pkwy
Ste 200
Tigard, OR 97224
Phone (503) 639-6002

7401 SW Washo Ct
Ste 100
Tualatin, OR 97062
Phone (503) 656-0836

Organizations & group practices 2

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 4

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1740278969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 DIVISION ST STE 105",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451584",
            "telephone_number": "503-656-0836",
            "fax_number": "503-656-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 DIVISION ST STE 105",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451584",
            "telephone_number": "503-656-0836",
            "fax_number": "503-656-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COEN",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "MD21639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133948",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN",
            "identifier": "R224040",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon City, OR

Sources for this page

Verify at the official NPI Registry.