Organization Active NPI

Albert P. Thompson

Doing business as Bayshore Family Medicine

  • Rural Health Clinic/Center
  • Pacific City, OR
National Provider Identifier
1871591016
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
383828 Issued in OR
Legal business name
ALBERT P. THOMPSON
Doing business as
Bayshore Family Medicine
Practice address
38505 Brooten Rd.
Suite a
Pacific City, OR 97135
Phone
(503) 965-6555
Fax
(503) 965-6800
NPI assigned
Jul 12, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
M Sydney Thompson
Title
Practice Administrator
Phone
(503) 965-6555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 383828 OR Primary

Addresses

Primary practice location

38505 Brooten Rd.
Suite a
Pacific City, OR 97135

Mailing address

PO Box 655
Pacific City, OR 97135-0655
Phone (503) 965-6555

Other identifiers 1

IdentifierTypeStateIssuer
129788MedicaidOR

Other names 1

  • Bayshore Family Medicine Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871591016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "PACIFIC CITY",
            "state": "OR",
            "postal_code": "971350655",
            "telephone_number": "503-965-6555",
            "fax_number": "503-965-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38505 BROOTEN RD.",
            "address_2": "SUITE A",
            "city": "PACIFIC CITY",
            "state": "OR",
            "postal_code": "97135",
            "telephone_number": "503-965-6555",
            "fax_number": "503-965-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT P. THOMPSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "M SYDNEY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "503-965-6555"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "OR",
            "license": "383828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129788",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayshore Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pacific City, OR

Sources for this page

  • 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.