Active NPI
Tyler Speaks, MD
- Anesthesiology Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD214885
- Practice address
- 707 SW Washington St Ste 700
Portland, OR 97205-3523 - Phone
- (503) 299-9906
- Fax
- (503) 225-9002
- NPI assigned
- Mar 27, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 70722 | TN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | MD214885 | OR | Primary |
Addresses
Primary practice location
707 SW Washington St Ste 700
Portland, OR 97205-3523
Mailing address
PO Box 35147
Seattle, WA 98124-5147
Other practice location 1
475 Vine St
Winston Salem, NC 27101-4135
Phone (336) 716-4396
Other practice location 2
10415 Wallace Alley St
Kingsport, TN 37663-3936
Phone (423) 968-4050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Tennessee, HSC, College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 390-0451
1501 W Elk Ave
Elizabethton, TN 37643-2874
Phone (423) 390-0451
400 N State of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 390-0451
Hospital & facility affiliations
- Wellmont Holston Valley Medical Center
- Indian Path Community Hospital
- Johnson City Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70722 | TN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Tennessee Ambulatory Surgery Center LLC | Current | Accepting new patients | |
| Oregon Anesthesiology Group PC | Anesthesiology | Current | Accepting new patients |
| Paragon Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Oag Trauma Services LLC | Anesthesiology | Past | Accepting new patients |
| Singing River Health System | Past | Accepting new patients |
Locations
24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407
707 SW Washington St
Ste 700
Portland, OR 97205
1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451
10415 Wallace Alley St
Kingsport, TN 37663
Phone (423) 390-0451
Interoperability endpoints
- tspeaks110638@direct.phhs.org
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Kingsport, TN
- NPI 1538174974
-
- Anesthesiology Physician
- Portland, OR
- NPI 1477527786
-
- Ambulatory Surgical Clinic/Center
- Johnson City, TN
- NPI 1659360071
-
- Anesthesiology Physician
- Portland, OR
- NPI 1548669948
-
- Internal Medicine Physician
- Pascagoula, MS
- NPI 1134283419
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1023434339
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1962915652
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1972606465
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1992813240
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1487690400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738713600000",
"number": "1891256343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35147",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981245147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 SW WASHINGTON ST STE 700",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972053523",
"telephone_number": "503-299-9906",
"fax_number": "503-225-9002"
}
],
"practiceLocations": [
{
"address_1": "475 Vine St",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271014135",
"country_code": "US",
"telephone_number": "336-716-4396",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10415 Wallace Alley St",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376633936",
"country_code": "US",
"telephone_number": "423-968-4050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPEAKS",
"first_name": "TYLER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-27",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TN",
"license": "70722",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OR",
"license": "MD214885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.