Oregon Specialists Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

OREGON SPECIALISTS SURGERY CENTER LLC

Practice address

2785 River Rd S
Salem, OR 97302-5883

Phone

(971) 301-8500

Fax

(971) 301-8501

NPI assigned

Aug 22, 2014

Organization subpart

No

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

Authorized official

Name

Jennifer Giese

Title

Administrator

Phone

(971) 301-8500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Oregon Specialists Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Listed as

Oregon Specialists Surgery Center LLCCCN 38C0001107

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Pain Care Specialists of Oregon, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Salem, OR
  • NPI 1942675467

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Poly Chen, M.D.

  • Interventional Pain Medicine Physician
  • Salem, OR
  • NPI 1255421467
  NPD

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1972902286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 RIVER RD S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025883",
            "telephone_number": "971-301-8500",
            "fax_number": "971-301-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 RIVER RD S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025883",
            "telephone_number": "971-301-8500",
            "fax_number": "971-301-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON SPECIALISTS SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-22",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "GIESE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "971-301-8500"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500690486",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oregon Specialists Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Oregon Oncology Specialists, LLP
• Oregon Pain Management LLC
• Oregon Plastic Surgeons ASC
• Oregon Rehabilitation Association
• Oregon Special Surgery Center
• Oregon State Hospital
• Oregon Youth Authority
• Lisa Orellana
• Oren T H Leong, LLC
• Andrew Robert Orf, PSY.D.

• All providers in Salem, OR
• Ambulatory Surgical Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.