Active NPI
Megan Emily Thygesen, MD
- Internal Medicine Physician
- Portland, OR
National Provider Identifier
1851341507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD24260
- Practice address
- 1200 NW 23Rd Ave
Portland, OR 97210-2906 - Phone
- (503) 413-7074
- NPI assigned
- May 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD24260 | OR | Primary |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | MD24260 | OR |
Addresses
Primary practice location
1200 NW 23Rd Ave
Portland, OR 97210-2906
Mailing address
1200 NW 23Rd Ave
Portland, OR 97210-2906
Phone (503) 413-7074
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005900 | Medicaid | OR | |
| PENDING | 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211328000000",
"number": "1851341507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 NW 23RD AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102906",
"telephone_number": "503-413-7074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 NW 23RD AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102906",
"telephone_number": "503-413-7074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THYGESEN",
"first_name": "MEGAN",
"middle_name": "EMILY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2008-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD24260",
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "OR",
"license": "MD24260",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005900",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.