Active NPI
Earl S Schuman, MD
- Surgery Physician
- Portland, OR
National Provider Identifier
1932190071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD09039
- Practice address
- 1130 NW 22ND Ave
Ste 300
Portland, OR 97210-2970 - Phone
- (503) 226-4325
- Fax
- (503) 227-5024
- NPI assigned
- Oct 28, 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD09039 | OR | Primary |
Addresses
Primary practice location
1130 NW 22ND Ave
Ste 300
Portland, OR 97210-2970
Mailing address
1130 NW 22ND Ave
Ste 300
Portland, OR 97210-2970
Phone (503) 226-4325
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD09039 | Other | STATE LICENSE NUMBER | |
| 217729 | 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 |
|---|---|---|---|
| Oregon Surgical Consultants PC | Surgery | 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": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299196800000",
"number": "1932190071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 NW 22ND AVE",
"address_2": "STE 300",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102970",
"telephone_number": "503-226-4325",
"fax_number": "503-227-5024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 NW 22ND AVE",
"address_2": "STE 300",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102970",
"telephone_number": "503-226-4325",
"fax_number": "503-227-5024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUMAN",
"first_name": "EARL",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-28",
"last_updated": "2011-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OR",
"license": "MD09039",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "MD09039",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "217729",
"state": "OR"
}
],
"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 Mar 4, 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.