Active NPI
Kevin I Nahm, M.D.
- Obstetrics & Gynecology Physician
- Newberg, OR
National Provider Identifier
1881612166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 12661
- Practice address
- 308 Villa Rd Ste 116
Newberg, OR 97132-1881 - Phone
- (503) 538-3000
- Fax
- (503) 538-5900
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 12661 | OR | Primary |
Addresses
Primary practice location
308 Villa Rd Ste 116
Newberg, OR 97132-1881
Mailing address
308 Villa Rd Ste 116
Newberg, OR 97132-1881
Phone (503) 538-3000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12661 | OR | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342742400000",
"number": "1881612166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 VILLA RD STE 116",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971321881",
"telephone_number": "503-538-3000",
"fax_number": "503-538-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 VILLA RD STE 116",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971321881",
"telephone_number": "503-538-3000",
"fax_number": "503-538-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAHM",
"first_name": "KEVIN",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2012-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OR",
"license": "12661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newberg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.