Individual provider Active NPI

Gregory John Esmer, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Portland, OR
National Provider Identifier
1891871455
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
DO26929 Issued in OR
Practice address
4039 N Mississippi Ave Ste 203
Portland, OR 97227-1477
Phone
(503) 970-2303
Fax
(503) 719-7591
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X DO26929 OR Primary
General Practice Physician 208D00000X D026929 OR
General Practice Physician 208D00000X 1826 ME

Addresses

Primary practice location

4039 N Mississippi Ave Ste 203
Portland, OR 97227-1477

Mailing address

4039 N Mississippi Ave Ste 203
Portland, OR 97227-1477
Phone (503) 970-2303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Sep 7, 2016 through Sep 7, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1826MEMDGeneral Practice Physician
D026929ORMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osteopathic PDX, P.C. Neuromusculoskeletal Medicine & Omm 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1891871455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4039 N MISSISSIPPI AVE STE 203",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271477",
            "telephone_number": "503-970-2303",
            "fax_number": "503-719-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4039 N MISSISSIPPI AVE STE 203",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271477",
            "telephone_number": "503-970-2303",
            "fax_number": "503-719-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESMER",
        "first_name": "GREGORY",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "OR",
            "license": "DO26929",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OR",
            "license": "D026929",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "ME",
            "license": "1826",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.