Active NPI
Jason Chen Kee Ling, PA
- Physician Assistant
- Woodburn, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA01394
- Practice address
- 685 Evergreen Rd
Woodburn, OR 97071-2910 - Phone
- (503) 362-8385
- Fax
- (503) 362-8435
- NPI assigned
- Aug 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA01394 | OR | Primary |
Addresses
Primary practice location
685 Evergreen Rd
Woodburn, OR 97071-2910
Mailing address
1793 13TH St SE
Salem, OR 97302-2541
Phone (503) 362-8385
Other practice location 1
1793 13th St SE
Salem, OR 97302-2541
Phone (503) 362-8385
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, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 SW Coast Hwy
Suite 201
Newport, OR 97365-5240
Phone (541) 257-6393
1390 Waverly Dr SE
Albany, OR 97322-6945
Phone (503) 362-8385
1793 13TH St SE
Salem, OR 97302-2541
Phone (503) 362-8385
685 Evergreen Rd NE
Woodburn, OR 97071-2910
Phone (503) 362-8385
904 SW Bay St
Newport, OR 97365-4860
Phone (866) 599-3376
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.65 of 100
- Promoting interoperability
- 89
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA01394 | OR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Falls Dermatology, LLC | Physician Assistant | Current | Accepting new patients |
Locations
1390 Waverly Dr SE
Albany, OR 97322
Phone (541) 967-8385
375 Park Ave
Ste 5
Coos Bay, OR 97420
Phone (541) 267-7543
3132 State St
Ste 110
Medford, OR 97504
Phone (541) 732-1686
904 SW Bay St
Newport, OR 97365
Phone (541) 683-2020
1010 SW Coast Hwy
Ste 201
Newport, OR 97365
Phone (541) 257-6393
9755 SW Barnes Rd
Ste 450
Portland, OR 97225
1793 13th St SE
Salem, OR 97302
Phone 50336283851283
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1790976207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1793 13TH ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973022541",
"telephone_number": "503-362-8385",
"fax_number": "503-362-8435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "685 EVERGREEN RD",
"city": "WOODBURN",
"state": "OR",
"postal_code": "970712910",
"telephone_number": "503-362-8385",
"fax_number": "503-362-8435"
}
],
"practiceLocations": [
{
"address_1": "1793 13th St SE",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "OR",
"postal_code": "973022541",
"country_code": "US",
"telephone_number": "503-362-8385",
"fax_number": "503-362-8435",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LING",
"first_name": "JASON",
"middle_name": "CHEN KEE",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-08",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA01394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodburn, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.