Active NPI
Anthony George Pappas, M.D.
- Diagnostic Radiology Physician
- Salem, OR
National Provider Identifier
1801904586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD07411
- Practice address
- 1155 Mission St SE
Suite 105
Salem, OR 97302-6228 - Phone
- (503) 362-0254
- Fax
- (503) 362-1082
- NPI assigned
- Aug 25, 2006
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD07411 | OR | Primary |
Addresses
Primary practice location
1155 Mission St SE
Suite 105
Salem, OR 97302-6228
Mailing address
PO Box 522
Salem, OR 97308-0522
Phone (503) 362-0254
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148643 | Medicaid | OR |
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Imaging Associates Inc | Diagnostic Radiology | Past | Accepting new patients |
| Mission Medical Imaging | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Diagnostic Imaging Of Salem
- Diagnostic Radiology Physician
- Salem, OR
- NPI 1356408215
-
- Diagnostic Radiology Physician
- Salem, OR
- NPI 1306893979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207526400000",
"number": "1801904586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 522",
"city": "SALEM",
"state": "OR",
"postal_code": "973080522",
"telephone_number": "503-362-0254",
"fax_number": "503-362-1082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 MISSION ST SE",
"address_2": "SUITE 105",
"city": "SALEM",
"state": "OR",
"postal_code": "973026228",
"telephone_number": "503-362-0254",
"fax_number": "503-362-1082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAPPAS",
"first_name": "ANTHONY",
"middle_name": "GEORGE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2008-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OR",
"license": "MD07411",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "148643",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.