NPIMap

Organization Active NPI

Bauer Medical Group

Doing business as Osteopathic Medical Associates

  • General Practice Physician
  • Milwaukie, OR
National Provider Identifier
1881022358
Registry record updated Oct 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
DO154162 Issued in OR
Legal business name
BAUER MEDICAL GROUP
Doing business as
Osteopathic Medical Associates
Practice address
6564 SE Lake Rd
Suite 101
Milwaukie, OR 97222-2237
Phone
(503) 236-2303
Fax
(503) 236-2614
NPI assigned
Oct 21, 2013
Last updated
Oct 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2013

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

Authorized official

Name
Misty Campbell
Title
Office Manager
Phone
(503) 236-2303

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO162206 OR
Physical Medicine & Rehabilitation Physician 208100000X 01994 OR
General Practice Physician 208D00000X DO154162 OR Primary

Addresses

Primary practice location

6564 SE Lake Rd
Suite 101
Milwaukie, OR 97222-2237

Mailing address

6564 SE Lake Rd
Suite 101
Milwaukie, OR 97222-2237
Phone (503) 236-2303

Other names 1

  • Osteopathic Medical Associates Doing business as

National Provider Directory

National Provider Directory

Locations

14780 SW Osprey Dr
Ste 325
Beaverton, OR 97007

Practitioners & affiliated clinicians

Practitioners 6

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": "1382313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382313600000",
    "number": "1881022358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6564 SE LAKE RD",
            "address_2": "SUITE 101",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222237",
            "telephone_number": "503-236-2303",
            "fax_number": "503-236-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6564 SE LAKE RD",
            "address_2": "SUITE 101",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222237",
            "telephone_number": "503-236-2303",
            "fax_number": "503-236-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAUER MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-21",
        "last_updated": "2013-10-21",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-236-2303"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO162206",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OR",
            "license": "01994",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OR",
            "license": "DO154162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Osteopathic Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; 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.