NPIMap

Organization Active NPI

John C. Anderson, M.D., P.C.

  • Orthopaedic Surgery Physician
  • Gresham, OR
National Provider Identifier
1750643060
Registry record updated Feb 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD26880 Issued in OR
Legal business name
JOHN C. ANDERSON, M.D., P.C.
Practice address
831 NW Council Dr
Suite 130
Gresham, OR 97030-3721
Phone
(503) 489-1122
Fax
(503) 489-1123
NPI assigned
Jun 12, 2012
Last updated
Feb 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2013

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

Authorized official

Name
John Anderson, M.D.NPI 1790706430
Title
Owner
Phone
(503) 489-1122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD26880 OR Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X MD26880 OR

Addresses

Primary practice location

831 NW Council Dr
Suite 130
Gresham, OR 97030-3721

Mailing address

831 NW Council Dr
Suite 130
Gresham, OR 97030-3721
Phone (503) 489-1122

National Provider Directory

National Provider Directory

Locations

831 NW Council Dr
Ste 130
Gresham, OR 97030
Phone (503) 256-3034

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361664000000",
    "number": "1750643060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 NW COUNCIL DR",
            "address_2": "SUITE 130",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303721",
            "telephone_number": "503-489-1122",
            "fax_number": "503-489-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 NW COUNCIL DR",
            "address_2": "SUITE 130",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303721",
            "telephone_number": "503-489-1122",
            "fax_number": "503-489-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C. ANDERSON, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2013-02-24",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-489-1122",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "MD26880",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "OR",
            "license": "MD26880",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.