Benjamin David Ehst, M.D., PH.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD27612 Issued in OR

Practice address

9495 SW Locust St Ste a
Portland, OR 97223-6683

Phone

(036) 369-0115

NPI assigned

Feb 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Dermatology

Education

University of Minnesota Medical School, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Broadway Medical Clinic LLPGroup PAC ID 2466447610, 18 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: benjamin.ehst.p1@direct.broadwaymedical.nextgenshare.com

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.

• Broadway Medical Clinic LLP

  • Primary Care Clinic/Center
  • Portland, OR
  • NPI 1720082316
  Medicare reassignment Care Compare group NPD
• Mid-Columbia Medical Center

  dba Adventist Health Columbia Gorge

  • General Practice Physician
  • The Dalles, OR
  • NPI 1053409599
  NPD (past)
• Mid-Columbia Medical Center

  dba Adventist Health Columbia Gorge

  • Rural Health Clinic/Center
  • The Dalles, OR
  • NPI 1154351336
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1740320068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9495 SW LOCUST ST STE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972236683",
            "telephone_number": "036-369-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9495 SW LOCUST ST STE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972236683",
            "telephone_number": "036-369-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHST",
        "first_name": "BENJAMIN",
        "middle_name": "DAVID",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OR",
            "license": "MD27612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHNS HOPKINS ID",
            "identifier": "220415",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Ehrlich
• Shannon Ehrlich
• David Ehrman, LCSW
• Natalie Jean Ehrman, MSW, LCSW
• Anam Ehsan, MD
• Lynda N Eichelberg
• Benjamin Eichenauer, L.M.T.
• Gwen Hryciw Eichenbaum, DMD, PHD
• Cassandra Joy Eichenberger
• Erin Eichenberger, LMT

• Dermatology Physician in Portland, OR
• Providers in Portland, OR by specialty
• Dermatology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.