Active NPI
James M Schroeder, P.A.
- Physician Assistant
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA154561
- Practice address
- 3036 NE MLK Jr Blvd
Portland, OR 97212-3053 - Phone
- (503) 283-3763
- NPI assigned
- May 26, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA-185 | ID | |
| Physician Assistant | 363A00000X | PA154561 | OR | Primary |
Addresses
Primary practice location
3036 NE MLK Jr Blvd
Portland, OR 97212-3053
Mailing address
798 Eastland Dr
Twin Falls, ID 83301-6856
Phone (208) 734-3312
Other practice location 1
388 Martin St
Twin Falls, ID 83301-4544
Phone (208) 734-0451
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4212 SE Division St
Suite 100
Portland, OR 97206-1680
Phone (503) 236-7166
707 NW Everett St
Portland, OR 97209-3517
Phone (503) 222-4906
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-185 | ID | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Medical Foundation of Tillamook | Current | Accepting new patients | |
| Northwest Medical Foundation of Tillamook | Current | Accepting new patients | |
| Cascadia Health | Past | Accepting new patients | |
| Careoregon Community Health, LLC | Past | Accepting new patients | |
| Northwest Medical Foundation of Tillamook | Past | Accepting new patients | |
| Family Health Services Corporation | Past | Accepting new patients |
Locations
1000 3rd St
#M
Tillamook, OR 97141
Phone (503) 815-2260
1100 3rd St
Tillamook, OR 97141
Phone (503) 815-2116
1000 3rd St
Tillamook, OR 97141
Phone (503) 251-6129
1005 Cougar St
Vernonia, OR 97064
Phone (503) 429-0622
Interoperability endpoints
- jschroeder719633@direct.ochin.org
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Portland, OR
- NPI 1336196401
-
- Critical Access Hospital
- Tillamook, OR
- NPI 1871575225
-
- Family Medicine Physician
- Beaverton, OR
- NPI 1053630491
-
- Critical Access Hospital
- Sheridan, OR
- NPI 1053873919
-
- Rural Health Clinic/Center
- Tillamook, OR
- NPI 1326349416
-
- Multi-Specialty Clinic/Center
- Portland, OR
- NPI 1447337753
-
- Federally Qualified Health Center (FQHC)
- Kimberly, ID
- NPI 1659946861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1780630202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "798 EASTLAND DR",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833016856",
"telephone_number": "208-734-3312",
"fax_number": "208-734-3313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3036 NE MLK JR BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972123053",
"telephone_number": "503-283-3763"
}
],
"practiceLocations": [
{
"address_1": "388 Martin St",
"address_purpose": "LOCATION",
"city": "Twin Falls",
"state": "ID",
"postal_code": "833014544",
"country_code": "US",
"telephone_number": "208-734-0451",
"fax_number": "208-734-0452",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHROEDER",
"first_name": "JAMES",
"middle_name": "M",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ID",
"license": "PA-185",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA154561",
"primary": true
}
],
"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 Sep 18, 2023; 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.