Active NPI
Gary W Takahashi, M.D.
- Hematology & Oncology Physician
- Beaverton, OR
National Provider Identifier
1881697415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MD14500
- Practice address
- 15700 SW Greystone Court
Beaverton, OR 97006-6011 - Phone
- (503) 203-1000
- Fax
- (503) 203-1010
- NPI assigned
- May 27, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | MD14500 | OR | Primary |
Addresses
Primary practice location
15700 SW Greystone Court
Beaverton, OR 97006-6011
Mailing address
PO Box 3378
Portland, OR 97208-3378
Phone (503) 203-1000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CV0082 | Other | OR | RR MEDICARE GROUP NUMBER |
| 00WFBBCC | Other | OR | MEDICARE ID |
| 54853 | Medicaid | OR |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Oncology PC | Hematology & Oncology | 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.
-
- Hematology & Oncology Physician
- Beaverton, OR
- NPI 1043262116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192579200000",
"number": "1881697415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3378",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083378",
"telephone_number": "503-203-1000",
"fax_number": "503-203-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15700 SW GREYSTONE COURT",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970066011",
"telephone_number": "503-203-1000",
"fax_number": "503-203-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAKAHASHI",
"first_name": "GARY",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2007-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "OR",
"license": "MD14500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP NUMBER",
"identifier": "CV0082",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "00WFBBCC",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54853",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.