Active NPI
Orthopedic Specialists, PC
- Orthopaedic Surgery Physician
- Portland, OR
National Provider Identifier
1881974772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD13922
- Legal business name
- ORTHOPEDIC SPECIALISTS, PC
- Practice address
- 5050 NE Hoyt St Ste 340
Portland, OR 97213-2983 - Phone
- (503) 467-7082
- Fax
- (503) 467-7099
- NPI assigned
- Aug 23, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeanette Bissett
- Title
- Credentialing
- Phone
- (503) 467-7060
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD13922 | OR | Primary |
| Durable Medical Equipment & Medical Supplies | 332B00000X | MD13922 | OR |
Addresses
Primary practice location
5050 NE Hoyt St Ste 340
Portland, OR 97213-2983
Mailing address
5050 NE Hoyt St Ste 340
Portland, OR 97213-2983
Phone (503) 467-7082
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R0000WCGGC | Other | OR | PTAN |
| 141937 | Medicaid | OR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Portland, OR
- NPI 1639171259
-
- Student in an Organized Health Care Education/Training Program
- San Francisco, CA
- NPI 1104058072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1498435200000",
"number": "1881974772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5050 NE HOYT ST STE 340",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972132983",
"telephone_number": "503-467-7082",
"fax_number": "503-467-7099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 NE HOYT ST STE 340",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972132983",
"telephone_number": "503-467-7082",
"fax_number": "503-467-7099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPEDIC SPECIALISTS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-23",
"last_updated": "2017-06-26",
"status": "A",
"authorized_official_last_name": "BISSETT",
"authorized_official_first_name": "JEANETTE",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "503-467-7060"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "OR",
"license": "MD13922",
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "OR",
"license": "MD13922",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "R0000WCGGC",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "141937",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
- Orthopedic & Fracture Clinic PC
- Orthopedic & Sports Medicine Center of Or LLC
- Orthopedic & TMJ Physical Therapy Center
- Orthopedic Needle LLC
- Orthopedic Specialists, PC
- Orthotic Prosthetic Associates Inc
- Orthotic Prosthetic Associates, Inc.
- Valeria Ortiz Irizarry, ND
- Nieves Ortiz Riboni, QMHA-I
- Belisario Alexander Ortiz Rueda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.