Active NPI
Magdalene Gyuricska, MD
- Family Medicine Physician
- Happy Valley, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD185697
- Practice address
- 16144 SE Happy Valley Town Center Dr Ste 101
Happy Valley, OR 97086-4257 - Phone
- (503) 659-4988
- Fax
- (503) 698-4018
- NPI assigned
- Jul 9, 2015
- Last updated
- Jan 2, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301108416 | MI | |
| Family Medicine Physician | 207Q00000X | MD185697 | OR | Primary |
Addresses
Primary practice location
16144 SE Happy Valley Town Center Dr Ste 101
Happy Valley, OR 97086-4257
Mailing address
PO Box 22075
Milwaukie, OR 97269-2075
Phone (503) 659-4988
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16144 SE Happy Valley Ctr Dr
BLDG H Suite 101
Happy Valley, OR 97086
Phone (503) 353-1272
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD185697 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Primary Care Group PC | Family Medicine | Current | Accepting new patients |
| Northwest Primary Care Group, PC | Family Medicine | Current | Accepting new patients |
| McLaren Flint | Past | Accepting new patients | |
| Northwest Primary Care Group PC | Family Medicine | Past | Accepting new patients |
Locations
16144 SE Happy Vly Twn Center Dr
Ste 101
Happy Valley, OR 97086
Phone (503) 353-1272
3033 SE Monroe St
Portland, OR 97222
Phone (503) 216-5380
Interoperability endpoints
- magdalene.gyuricska.1@30939.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Portland, OR
- NPI 1144319658
-
- Family Medicine Physician
- Milwaukie, OR
- NPI 1558572180
-
- Family Medicine Physician
- Milwaukie, OR
- NPI 1801856737
-
- Social Worker
- Flint, MI
- NPI 1356480685
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gresham, OR
- NPI 1255354700
-
dba Providence Medical Group
- Clinic/Center
- Portland, OR
- NPI 1326272741
Hospital
-
dba Providence Willamette Falls Medical Center
- General Acute Care Hospital
- Oregon City, OR
- NPI 1912282369
-
dba Providence Milwaukie Hospital
- General Acute Care Hospital
- Milwaukie, OR
- NPI 1366536963
-
dba Providence Home Health
- 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": "1436400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704153600000",
"number": "1780067660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22075",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972692075",
"telephone_number": "503-659-4988",
"fax_number": "503-698-4018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16144 SE HAPPY VALLEY TOWN CENTER DR STE 101",
"city": "HAPPY VALLEY",
"state": "OR",
"postal_code": "970864257",
"telephone_number": "503-659-4988",
"fax_number": "503-698-4018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GYURICSKA",
"first_name": "MAGDALENE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-09",
"last_updated": "2024-01-02",
"certification_date": "2024-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301108416",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD185697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Happy Valley, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.