Active NPI
Gregory W Tanksley, M.D.
- Emergency Medicine Physician
- Hillsboro, OR
National Provider Identifier
1871621607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD00048109
- Practice address
- 335 SE 8TH Ave
Tuality Community Hospital
Hillsboro, OR 97123-4246 - Phone
- (503) 681-1111
- NPI assigned
- Mar 1, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 222336 | MA | |
| Emergency Medicine Physician | 207P00000X | MD00048109 | WA | Primary |
Addresses
Primary practice location
335 SE 8TH Ave
Tuality Community Hospital
Hillsboro, OR 97123-4246
Mailing address
335 SE 8TH Ave
Tuality Community Hospital
Hillsboro, OR 97123-4246
Phone (503) 681-1111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8487340 | Medicaid | WA |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 222336 | MA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Joint Specialists LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Tigard, OR
- NPI 1336704071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235433600000",
"number": "1871621607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 SE 8TH AVE",
"address_2": "TUALITY COMMUNITY HOSPITAL",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971234246",
"telephone_number": "503-681-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 SE 8TH AVE",
"address_2": "TUALITY COMMUNITY HOSPITAL",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971234246",
"telephone_number": "503-681-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANKSLEY",
"first_name": "GREGORY",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-01",
"last_updated": "2009-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "222336",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "MD00048109",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8487340",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.