Organization Active NPI

James a Kilgore MD, PC

  • Plastic Surgery Physician
  • Tualatin, OR
National Provider Identifier
1942507819
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
JAMES A KILGORE MD, PC
Practice address
19250 SW 65TH Ave Ste 365
Tualatin, OR 97062-7747
Phone
(503) 691-0364
Fax
(503) 612-6663
NPI assigned
Feb 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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

Authorized official

Name
Ms. Amy R
Title
Clinic Manager
Phone
(503) 691-0364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

19250 SW 65TH Ave Ste 365
Tualatin, OR 97062-7747

Mailing address

19250 SW 65TH Ave Ste 365
Tualatin, OR 97062-7747
Phone (503) 691-0364

National Provider Directory

National Provider Directory

Locations

19250 SW 65th Ave
Ste 365
Tualatin, OR 97062
Phone (503) 691-0364

NPI Registry JSON

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297382400000",
    "number": "1942507819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19250 SW 65TH AVE STE 365",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970627747",
            "telephone_number": "503-691-0364",
            "fax_number": "503-612-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19250 SW 65TH AVE STE 365",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970627747",
            "telephone_number": "503-691-0364",
            "fax_number": "503-612-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES A KILGORE MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-11",
        "last_updated": "2011-02-11",
        "status": "A",
        "authorized_official_last_name": "R",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "503-691-0364",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.