Individual provider Active NPI

Kathryn O'Keeffe Fuchs, M.D.

  • Pediatric Orthopaedic Surgery Physician
  • Portland, OR
National Provider Identifier
1962796946
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
MD183591 Issued in OR
Practice address
3101 SW Sam Jackson Park Rd
Portland, OR 97239-3009
Phone
(503) 221-3424
Fax
(503) 221-3490
NPI assigned
Jun 7, 2011
Last updated
Mar 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD183591 OR
Pediatric Orthopaedic Surgery Physician 207XP3100X MD183591 OR Primary

Addresses

Primary practice location

3101 SW Sam Jackson Park Rd
Portland, OR 97239-3009

Mailing address

PO Box 8500, Lockbox 7642
Shriners Hospital for Children Portland
Philadelphia, PA 19178-7642
Phone (813) 281-8115

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kfuchs825447@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171023002432 OR Practitioner - Orthopedic SurgeryPractitioner - Pediatric Medicine 2567768625 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD183591ORMDPediatric Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon Current Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
University Professional Services CurrentSince Dec 1, 2017 Accepting new patients
University Professional Services CurrentSince Dec 1, 2017 Accepting new patients
University Professional Services Current Accepting new patients
Providence Health & Services Oregon CurrentSince Oct 1, 2017 Accepting new patients
Providence Health & Services - Oregon CurrentSince Oct 1, 2017 Accepting new patients
Providence Health & Services Oregon CurrentSince Oct 1, 2017 Accepting new patients
Providence Health & Services Oregon CurrentSince Oct 1, 2017 Accepting new patients
Providence Health & Services - Oregon Past Accepting new patients
Shriners Hospitals for Children Pediatric Orthopaedic Surgery Past Accepting new patients

Locations

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

9135 SW Barnes Rd
Ste 763
Portland, OR 97225
Phone (503) 216-6050

9427 SW Barnes Rd
Ste 395
Portland, OR 97225
Phone (503) 216-2602

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1962796946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8500, LOCKBOX 7642",
            "address_2": "SHRINERS HOSPITAL FOR CHILDREN PORTLAND",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191787642",
            "telephone_number": "813-281-8115",
            "fax_number": "813-281-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393009",
            "telephone_number": "503-221-3424",
            "fax_number": "503-221-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUCHS",
        "first_name": "KATHRYN",
        "middle_name": "O'KEEFFE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "MD183591",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "OR",
            "license": "MD183591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kfuchs825447@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "9427 SW Barnes Rd Ste 395",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972256652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.