Eastside Allergy Asthma & General Internal Medicine PC

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

MD21072 Issued in OR

Legal business name

EASTSIDE ALLERGY ASTHMA & GENERAL INTERNAL MEDICINE PC

Practice address

2850 SE Powell Blvd
Suite 206
Gresham, OR 97080-1494

Phone

(503) 666-5025

Fax

(503) 666-5795

NPI assigned

Feb 2, 2011

Organization subpart

Yes

Parent organization

EASTSIDE ALLERGY, ASTHMA & GENERAL INTERNAL MEDICINE PCAs reported in NPPES

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

Authorized official

Name

Dr. Austin Underwood Sargent, M.D. PHD

Title

President/Owner

Phone

(503) 666-5025

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Easside Allergy Immun

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Randall McEvers, DC

  • Chiropractor
  • Lincoln City, OR
  • NPI 1336211515
  NPD (past)

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1922304302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 SE POWELL BLVD",
            "address_2": "SUITE 206",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970801494",
            "telephone_number": "503-666-5025",
            "fax_number": "503-666-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 SE POWELL BLVD",
            "address_2": "SUITE 206",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970801494",
            "telephone_number": "503-666-5025",
            "fax_number": "503-666-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE ALLERGY ASTHMA & GENERAL INTERNAL MEDICINE PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EASTSIDE ALLERGY, ASTHMA & GENERAL INTERNAL MEDICINE PC",
        "enumeration_date": "2011-02-02",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "SARGENT",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "UNDERWOOD",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "503-666-5025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. PHD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "OR",
            "license": "MD21072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151110",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John T Early, FNP-C
• East Portland Ear Nose and Throat Clinic
• Ramona East, CPT
• Hailey Eastep
• Stephanie Eastin, L.AC.
• Eastside Child and Family Therapy, LLC
• Monica Lynn Eddy
• Lindsey Denise Edwards, PSS/QMHA-R
• Sherry Denise Edwards, D.D.S.
• Mary A Egsieker, MD

• Allergy Physician in Gresham, OR
• Providers in Gresham, OR by specialty
• Allergy Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.