Organization Active NPI

Viyada Thongouthaithip MD & Carmelindo Siqueira Jr MD PC

  • Specialist
  • Portland, OR
National Provider Identifier
1780855502
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD 12967 Issued in OR
Legal business name
VIYADA THONGOUTHAITHIP MD & CARMELINDO SIQUEIRA JR MD PC
Practice address
9155 SW Barnes Rd Ste 310
Portland, OR 97225-6630
Phone
(503) 297-8491
Fax
(503) 297-8492
NPI assigned
Mar 19, 2008
Last updated
May 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

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

Authorized official

Name
Dr. Viyada Thongouthaithip, M.D., M.D.
Title
Cardiologist
Phone
(503) 297-8491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD 12967 OR Primary

Addresses

Primary practice location

9155 SW Barnes Rd Ste 310
Portland, OR 97225-6630

Mailing address

9155 SW Barnes Rd Ste 310
Portland, OR 97225-6630
Phone (503) 297-8491

Other identifiers 1

IdentifierTypeStateIssuer
279174MedicaidOR

National Provider Directory

National Provider Directory

Locations

9155 SW Barnes Rd
Ste 310
Portland, OR 97225
Phone (503) 293-8491

9155 SW Barnes Rd
Ste 434
Portland, OR 97225
Phone (503) 297-8491

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1780855502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9155 SW BARNES RD STE 310",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256630",
            "telephone_number": "503-297-8491",
            "fax_number": "503-297-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9155 SW BARNES RD STE 310",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256630",
            "telephone_number": "503-297-8491",
            "fax_number": "503-297-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIYADA THONGOUTHAITHIP MD & CARMELINDO SIQUEIRA JR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "THONGOUTHAITHIP, M.D.",
        "authorized_official_first_name": "VIYADA",
        "authorized_official_title_or_position": "CARDIOLOGIST",
        "authorized_official_telephone_number": "503-297-8491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD 12967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279174",
            "state": "OR"
        }
    ],
    "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 12, 2014; 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.