Active NPI
Joyce S Endo, M.D.
- Family Medicine Physician
- West Linn, OR
National Provider Identifier
1760414262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD17097
- Practice address
- 18380 Willamette Dr
Suite 202
West Linn, OR 97068-1200 - Phone
- (503) 635-8384
- Fax
- (503) 636-6475
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD17097 | OR | Primary |
Addresses
Primary practice location
18380 Willamette Dr
Suite 202
West Linn, OR 97068-1200
Mailing address
18380 Willamette Dr
Suite 202
West Linn, OR 97068-1200
Phone (503) 635-8384
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001785001 | Other | OR | BLUE CROSS |
| 025556 | Medicaid | OR | |
| 97068A003 | Other | OR | CHAMPUS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100914000445 | OR | Practitioner - Family Practice | 4688667090 |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of California, Geffen School of Medicine, 1988
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
18380 Willamette Dr
Suite 202
West Linn, OR 97068-1200
Hospital & facility affiliations
- Providence Home Health
- Legacy Meridian Park Medical Center
- Providence Willamette Falls Medical Center
- Providence St Vincent Medical Center
- Providence Milwaukie Hospital
- Providence Portland Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD17097 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Linn Family Health Center, P.C. | Current | Accepting new patients | |
| West Linn Family Health Center | Family Medicine | Current | Accepting new patients |
Locations
18380 Willamette Dr
Ste 202
West Linn, OR 97068
Phone (503) 635-8384
Interoperability endpoints
- joyce.endo@wlfhc.eclinicaldirectplus.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- West Linn, OR
- NPI 1114959707
-
- Non-Pharmacy Dispensing Site
- West Linn, OR
- NPI 1780725564
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tualatin, OR
- NPI 1184647620
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
-
- Case Manager/Care Coordinator
- Portland, OR
- NPI 1891822995
Hospital
-
- General Acute Care Hospital
- Oregon City, OR
- NPI 1912282369
-
- General Acute Care Hospital
- Milwaukie, OR
- NPI 1366536963
-
- Home Health Agency
- Portland, OR
- NPI 1790873461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760414262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18380 WILLAMETTE DR",
"address_2": "SUITE 202",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970681200",
"telephone_number": "503-635-8384",
"fax_number": "503-636-6475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18380 WILLAMETTE DR",
"address_2": "SUITE 202",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970681200",
"telephone_number": "503-635-8384",
"fax_number": "503-636-6475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENDO",
"first_name": "JOYCE",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD17097",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "001785001",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "025556",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "97068A003",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Linn, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.