Pacific Heart Associates, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PACIFIC HEART ASSOCIATES, P.C.

Practice address

300 N Graham St
Suite 320
Portland, OR 97227-1683

Phone

(503) 281-0448

Fax

(503) 281-0507

NPI assigned

Mar 7, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mandy Bouschor

Title

Billing Supervisor

Phone

(503) 790-0230

Specialties & licenses 1

Addresses

Locations

Practitioners 10

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.

• James Bordley V, M.D.

  • Pulmonary Disease Physician
  • Portland, OR
  • NPI 1346566981
  NPD (past)
• Robert C. Florek, MD

  • Clinical Cardiac Electrophysiology Physician
  • Hood River, OR
  • NPI 1013913748
  NPD (past)
• Angela Gibbs, MD

  • Internal Medicine Physician
  • Gresham, OR
  • NPI 1487034484
  NPD (past)
• Crystal Griffy, ANP-BC

  • Adult Health Nurse Practitioner
  • Portland, OR
  • NPI 1902229958
  NPD (past)
• Arun Kuchela, MD

  • Interventional Cardiology Physician
  • Portland, OR
  • NPI 1366478810
  NPD (past)
• Neshe E. North, M.D.

  • Specialist
  • Portland, OR
  • NPI 1649275694
  NPD (past)
• Marivic Rustia

  • Acute Care Nurse Practitioner
  • Portland, OR
  • NPI 1376012104
  NPD (past)
• Stuart E Trenholme, M.D.

  • Cardiovascular Disease Physician
  • Portland, OR
  • NPI 1508893553
  NPD (past)
• Martin S. Gizzi, MD

  • Neurology Physician
  • Torrington, CT
  • NPI 1174523468
  NPD (past)
• Naji M Hamdan, M.D.

  • Cardiovascular Disease Physician
  • Scottsdale, AZ
  • NPI 1679570873
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811028525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 NW 22ND AVE",
            "address_2": "SUITE 660",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103057",
            "telephone_number": "503-790-1234",
            "fax_number": "503-790-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N GRAHAM ST",
            "address_2": "SUITE 320",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271683",
            "telephone_number": "503-281-0448",
            "fax_number": "503-281-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HEART ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOUSCHOR",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "503-790-0230",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Dental Group
• Pacific Dental Institute
• Pacific Eye Group, PC
• Pacific Footwear Company, Inc. (Priority Footwear & Pedorthic Services)
• Pacific Heart Associates, P.C.
• Pacific Imaging Associates LLC
• Pacific Medical, Inc. (Pacific Medical Prosthetics & Orthotics)
• Pacific Mental Health Clinic LLC
• Pacific Mental Health Oregon LLC
• Pacific Neurosurgical PC

• Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.