Active NPI
Sarah Christine Simons, PA-C
- Surgical Physician Assistant
- Portland, OR
National Provider Identifier
1790937613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA165017
- Practice address
- 9555 SW Barnes Rd
Suite 150
Portland, OR 97225-6663 - Phone
- (503) 297-7403
- Fax
- (503) 384-9908
- NPI assigned
- Oct 22, 2008
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA05213 | TX | |
| Surgical Physician Assistant | 363AS0400X | PA165017 | OR | Primary |
Addresses
Primary practice location
9555 SW Barnes Rd
Suite 150
Portland, OR 97225-6663
Mailing address
9555 SW Barnes Rd
Suite 150
Portland, OR 97225-6663
Phone (503) 297-7403
Other names 1
- Sarah Christine Fleischman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA165017 | OR | MD | Surgical Physician Assistant |
| PA05213 | TX | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Cancer Specialists PC | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391040000000",
"number": "1790937613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9555 SW BARNES RD",
"address_2": "SUITE 150",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256663",
"telephone_number": "503-297-7403",
"fax_number": "503-384-9908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9555 SW BARNES RD",
"address_2": "SUITE 150",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256663",
"telephone_number": "503-297-7403",
"fax_number": "503-384-9908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONS",
"first_name": "SARAH",
"middle_name": "CHRISTINE",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-22",
"last_updated": "2014-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "PA05213",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "OR",
"license": "PA165017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "FLEISCHMAN",
"middle_name": "CHRISTINE",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
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 Jan 30, 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.