John Gordon Nutt, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

MD11584 Issued in OR

Practice address

3181 SW Sam Jackson Park Rd
Oregon Health & Science University
Portland, OR 97239-3011

Phone

(503) 494-7772

Fax

(503) 494-9059

NPI assigned

Oct 9, 2006

Last updated

Sep 8, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

99.11 of 100Reported as apm

Quality

84.29

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1871680827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKLSON PARK ROAD",
            "address_2": "OREGON HEALTH & SCIENCE UNIVERSITY, DEPARTMENT OF NEURO",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972391558",
            "telephone_number": "503-494-7228",
            "fax_number": "503-494-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "address_2": "OREGON HEALTH & SCIENCE UNIVERSITY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-7772",
            "fax_number": "503-494-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTT",
        "first_name": "JOHN",
        "middle_name": "GORDON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD11584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "247452",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Abra Nusbaum
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• Lucy Nusrala, P.A.-C
• Nutrition Counseling NW
• Nutrition Studio LLC
• Ronnie Nutting
• Nvelup Telehealth PLLC (NVelUp Oregon)
• NW Anxiety Institute, LLC
• NW Assets, LLC (Nicholson Dental Care)
• NW Case Management LLC

• Neurology Physician in Portland, OR
• Providers in Portland, OR by specialty
• Neurology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.