Active NPI
Andrew Shields Brown, PA-C
- Surgical Physician Assistant
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA213593
- Practice address
- 10000 SE Main St Ste 365
Portland, OR 97216-2474 - Phone
- (503) 261-4430
- Fax
- (503) 261-4436
- NPI assigned
- Jul 16, 2013
- Last updated
- May 15, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 055-0031643 | VT | |
| Physician Assistant | 363A00000X | PA662 | WY | |
| Physician Assistant | 363A00000X | PA60485019 | WA | |
| Physician Assistant | 363A00000X | 0110008975 | VA | |
| Surgical Physician Assistant | 363AS0400X | PA213593 | OR | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | WA |
Addresses
Primary practice location
10000 SE Main St Ste 365
Portland, OR 97216-2474
Mailing address
10000 SE Main St Ste 365
Portland, OR 97216-2474
Phone (503) 261-4430
Other practice location 1
805 E 2nd St Ste 3
Casper, WY 82601-2622
Phone (307) 237-2300
Other practice location 2
3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001
Other practice location 3
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-4152
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, WY, VT, DC, OR, TN, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 Goethals Dr
Suite E
Richland, WA 99352-3301
Phone (509) 942-2986
665 Winter St SE
Salem, OR 97301-3934
Phone (503) 561-5200
890 Oak St SE
Salem, OR 97301-3905
Phone (503) 561-5200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055-0031643 | VT | MD | Physician Assistant |
| PA60485019 | WA | MD | Physician Assistant |
| PA662 | WY | MD | Physician Assistant |
| PA213593 | OR | MD | Surgical Physician Assistant |
| 6192 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Frye Medical Group LLC | Current | Accepting new patients | |
| Banner Health Physicians West LLC | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Salem Health | Current | Accepting new patients | |
| Salem Health | Current | Accepting new patients | |
| University of Vermont Medical Center Inc | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Wyoming Medical Center, Inc. | Current | Accepting new patients | |
| DLP Frye Medical Group LLC | Physician Assistant | Past | Accepting new patients |
| Wyoming Cardiac Surgery | Past | Accepting new patients |
Locations
915 Tate Blvd SE
Ste 182
Hickory, NC 28602
Phone (828) 322-2005
915 Tate Blvd SE
Ste 186
Hickory, NC 28602
Phone (828) 449-8458
665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
8503 Arlington Blvd
Fairfax, VA 22031
Phone (703) 970-2670
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
1020 S Conwell St
Casper, WY 82601
Phone (307) 265-3622
1230 E 1st St
Casper, WY 82601
Phone (307) 266-3174
1233 E 2nd St
Casper, WY 82601
Phone (307) 577-2171
1106 Big Horn Ave
Worland, WY 82401
Phone (307) 347-3221
Interoperability endpoints
- abrown653174@direct.multicare.org
Organizations & group practices 17
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.
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
-
dba FryeCare Lincolnton Medical Group
- Rural Health Clinic/Center
- Lincolnton, NC
- NPI 1154005965
-
dba Uvm Medical Center
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
-
dba BestMed
- Multi-Specialty Clinic/Center
- Laramie, WY
- NPI 1063720605
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- General Acute Care Hospital
- Casper, WY
- NPI 1346332954
-
- Durable Medical Equipment & Medical Supplies
- Keizer, OR
- NPI 1487434775
-
- Family Medicine Physician
- Woodburn, OR
- NPI 1578112066
-
- Multi-Specialty Clinic/Center
- Ogallala, NE
- NPI 1154687812
-
dba Inova Blood Donor Services
- Medical Technologist
- Sterling, VA
- NPI 1699655589
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1760823900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10000 SE MAIN ST STE 365",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162474",
"telephone_number": "503-261-4430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 SE MAIN ST STE 365",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162474",
"telephone_number": "503-261-4430",
"fax_number": "503-261-4436"
}
],
"practiceLocations": [
{
"address_1": "805 E 2nd St Ste 3",
"address_purpose": "LOCATION",
"city": "Casper",
"state": "WY",
"postal_code": "826012622",
"country_code": "US",
"telephone_number": "307-237-2300",
"fax_number": "307-237-1346",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3300 Gallows Rd",
"address_purpose": "LOCATION",
"city": "Falls Church",
"state": "VA",
"postal_code": "220423307",
"country_code": "US",
"telephone_number": "703-776-4001",
"fax_number": "703-776-7113",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 Colchester Ave",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "VT",
"postal_code": "054011473",
"country_code": "US",
"telephone_number": "802-847-4152",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "ANDREW",
"middle_name": "SHIELDS",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-16",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VT",
"license": "055-0031643",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WY",
"license": "PA662",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA60485019",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110008975",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "OR",
"license": "PA213593",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.