Northwest Pediatrics and Adolescent Medicine, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

DO27031 Issued in OR

Legal business name

NORTHWEST PEDIATRICS AND ADOLESCENT MEDICINE, LLC

Practice address

810 13TH St
Hood River, OR 97031-1210

Phone

(541) 386-2300

Fax

(541) 436-4113

NPI assigned

Aug 4, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Richard Martin, D.O., MPHNPI 1477657617

Title

Pediatrician

Phone

(541) 386-2300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13019/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Richard James Martin, D.O, MPH

  • Pediatrics Physician
  • Hood River, OR
  • NPI 1477657617
  NPD (past) Authorized official

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389916800000",
    "number": "1811276157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 13TH ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311210",
            "telephone_number": "541-386-2300",
            "fax_number": "541-436-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 13TH ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311210",
            "telephone_number": "541-386-2300",
            "fax_number": "541-436-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PEDIATRICS AND ADOLESCENT MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-04",
        "last_updated": "2014-01-17",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "541-386-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O., MPH"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "DO27031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500621998",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassie Ann Nobbs, BSCPT
• Noble Pine Dentistry LLC
• Noblepine Dental LLC
• Emily Jasmine Nolasco, RDH
• Shannon Northroup, LMT, CSI
• Gwenyth Rose O'Brien, DPT, PT
• Shannon-Marie O'Brien, MSW
• Julie Suzanne O'Donnell, LCSW
• Jon O'Guin
• Erin O'Hern

• Primary Care Clinic/Center in Hood River, OR
• Providers in Hood River, OR by specialty
• Primary Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.