Organization Active NPI

Westside Internal Medicine

  • Internal Medicine Physician
  • Portland, OR
National Provider Identifier
1972771327
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WESTSIDE INTERNAL MEDICINE
Practice address
9155 SW Barnes Rd
Ste 238
Portland, OR 97225-6625
Phone
(503) 223-7214
Fax
(503) 227-7572
NPI assigned
Feb 19, 2008
Last updated
Sep 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

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

Authorized official

Name
Dr. Todd A Hochenedel, M.D.NPI 1285710772
Title
President
Phone
(503) 297-5581

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

9155 SW Barnes Rd
Ste 238
Portland, OR 97225-6625

Mailing address

9155 SW Barnes Rd
Ste 230
Portland, OR 97225-6625
Phone (503) 445-3235

Other identifiers 3

IdentifierTypeStateIssuer
003335OtherORREGENCE BLUE CROSS OF OR
CT1677OtherORRAILROAD MEDICARE/PALMETT
500607344MedicaidOR

National Provider Directory

National Provider Directory

Locations

511 SW 10th Ave
Ste 1014
Portland, OR 97205
Phone (503) 223-7214

9155 SW Barnes Rd
#403
Portland, OR 97225
Phone (503) 297-5581

9155 SW Barnes Rd
Ste 230
Portland, OR 97225
Phone (503) 297-5581

9155 SW Barnes Rd
Ste 403
Portland, OR 97225
Phone (503) 297-5581

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1972771327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9155 SW BARNES RD",
            "address_2": "STE 230",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256625",
            "telephone_number": "503-445-3235",
            "fax_number": "503-790-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9155 SW BARNES RD",
            "address_2": "STE 238",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256625",
            "telephone_number": "503-223-7214",
            "fax_number": "503-227-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "HOCHENEDEL",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-297-5581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE CROSS OF OR",
            "identifier": "003335",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE/PALMETT",
            "identifier": "CT1677",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500607344",
            "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 Sep 9, 2009; 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.