NPIMap

Organization Active NPI

Hillsboro Advanced Surgical Care PC

  • Surgery Physician
  • Hillsboro, OR
National Provider Identifier
1801903646
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD22348 Issued in OR
Legal business name
HILLSBORO ADVANCED SURGICAL CARE PC
Practice address
5625 NE Elam Young Pkwy Ste 200
Hillsboro, OR 97124-6422
Phone
(503) 352-3791
Fax
(503) 352-3793
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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

Authorized official

Name
Catharina A Hoeksema, MD
Title
President
Phone
(503) 352-3791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X MD22348 OR Primary

Addresses

Primary practice location

5625 NE Elam Young Pkwy Ste 200
Hillsboro, OR 97124-6422

Mailing address

5625 NE Elam Young Pkwy Ste 200
Hillsboro, OR 97124-6422
Phone (503) 352-3791

Other names 1

  • Catharina A Davis MD PC Former legal business name

National Provider Directory

National Provider Directory

Locations

5625 NE Elam Young Pkwy
Ste 200
Hillsboro, OR 97124
Phone (503) 352-3791

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1801903646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 NE ELAM YOUNG PKWY STE 200",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971246422",
            "telephone_number": "503-352-3791",
            "fax_number": "503-352-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 NE ELAM YOUNG PKWY STE 200",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971246422",
            "telephone_number": "503-352-3791",
            "fax_number": "503-352-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSBORO ADVANCED SURGICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "HOEKSEMA",
        "authorized_official_first_name": "CATHARINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-352-3791",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD22348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catharina A Davis MD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.