Organization Active NPI

Robert S PC

  • Diagnostic Radiology Physician
  • West Linn, OR
National Provider Identifier
1790042695
Registry record updated Apr 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD08338 Issued in OR
Legal business name
ROBERT S PC
Practice address
21810 Willamette Dr
West Linn, OR 97068-3256
Phone
(503) 579-5000
Fax
(503) 579-5001
NPI assigned
Apr 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2012

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

Authorized official

Name
Dr. Robert Wesley Seapy, MDNPI 1255406054
Title
Owner
Phone
(503) 880-0612

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X MD08338 OR Primary

Addresses

Primary practice location

21810 Willamette Dr
West Linn, OR 97068-3256

Mailing address

12859 SW Ridgefield LN
Portland, OR 97223-1767
Phone (503) 579-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120501000571 OR Part B Supplier - Clinic/Group Practice 0547422941 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Oswego, OR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334534400000",
    "number": "1790042695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12859 SW RIDGEFIELD LN",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972231767",
            "telephone_number": "503-579-5000",
            "fax_number": "503-579-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21810 WILLAMETTE DR",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970683256",
            "telephone_number": "503-579-5000",
            "fax_number": "503-579-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT S PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-16",
        "last_updated": "2012-04-16",
        "status": "A",
        "authorized_official_last_name": "SEAPY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-880-0612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD08338",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.