Active NPI
John Stewart Hesla, M.D.
- Specialist
- Portland, OR
National Provider Identifier
1962514935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD21546
- Practice address
- 808 SW 15TH Ave
Portland, OR 97205 - Phone
- (503) 274-4994
- Fax
- (503) 274-4946
- NPI assigned
- Aug 31, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MD21546 | OR | Primary |
Addresses
Primary practice location
808 SW 15TH Ave
Portland, OR 97205
Mailing address
808 SW 15TH Avenue
Oregon Reproductive Medicine
Portland, OR 97205
Phone (503) 274-4994
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD21546 | OR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portland Center for Reproductive Medicine | Specialist | 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.
-
- Specialist
- Portland, OR
- NPI 1033234042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449014400000",
"number": "1962514935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 SW 15TH AVENUE",
"address_2": "OREGON REPRODUCTIVE MEDICINE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97205",
"telephone_number": "503-274-4994",
"fax_number": "503-274-4946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 SW 15TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97205",
"telephone_number": "503-274-4994",
"fax_number": "503-274-4946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HESLA",
"first_name": "JOHN",
"middle_name": "STEWART",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2015-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "MD21546",
"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 Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.