OREGON SPORTS MEDICINE ASSOCIATES (NPI# 1093081770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093081770 |
| Entity Type | Organization |
| Organization Name | OREGON SPORTS MEDICINE ASSOCIATES |
| Other Organization Name | SPORTS MEDICINE OREGON |
| Practice Address |
7300 Sw Childs Rd Suite B Tigard OR 97224-7772 |
| Practice Telephone | 5036928700 |
| Practice Fax Number | 5036928710 |
| Mailing Telephone | 5036928700 |
| Mailing Fax Number | 5036928710 |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-04-19 |
| Authorized Official Name | DR. JONATHAN GREENLEAF (PRESIDENT) |
| Authorized Official Telephone | 5036928700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sports Medicine Oregon | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700151065 | Oregon Sports Medicine Associates | Orthopaedic Surgery | 909 Sw 18th Ave, Portland, OR 97205-1705 | 2012-03-19 |
| 1487929741 | Oregon Sports Medicine Associates | Orthopaedic Surgery | 29345 Sw Town Center Loop E, Suite 211, Wilsonville, OR 97070-8486 | 2012-03-19 |
| 1093713729 | Oregon Sports Medicine Associates | Specialist | 7300 Sw Childs Rd, Tigard, OR 97224-7713 | 2005-07-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | OREGON SPORTS MEDICINE ASSOCIATES, P.C. | 7300 Sw Childs Rd Ste B, Tigard, OR 97224 |
| Washington State Corporations | OREGON SPORTS MEDICINE ASSOCIATES, P.C. | 805 Broadway Ste 130, Vancouver, WA 98660 |
| Street Address |
7300 SW CHILDS RD SUITE B |
| City | TIGARD |
| State | OR |
| Zip Code | 97224-7772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568469278 | Jonathan Edward Greenleaf | Specialist | 7300 Sw Childs Rd, Tigard, OR 97224-7713 | 2005-07-07 |
| 1043676042 | Courtney White | Specialist/Technologist | 7300 Sw Childs Rd, Suite B, Tigard, OR 97224-7772 | 2016-01-06 |
| 1437576410 | Timothy Ryan Beals | General Practice | 7300 Sw Childs Rd, #b, Tigard, OR 97224 | 2014-03-27 |
| 1508973330 | Valerie J Nipper | Physician Assistant | 7300 Sw Childs Rd, Tigard, OR 97224-7772 | 2006-08-25 |
| 1972610822 | Sheri Lyn Cameron | Physician Assistant | 7300 Sw Childs Rd, Tigard, OR 97224-7772 | 2006-08-24 |
| 1083658926 | Stephen M Schroeder | Podiatrist | 7300 Sw Childs Rd, #b, Tigard, OR 97224 | 2006-06-15 |
| 1942262050 | Ron H Ruff Md PC | Anesthesiology | 7300 Sw Childs Rd, Suite A, Tigard, OR 97224-7772 | 2006-04-04 |
| 1932178266 | Ron H Ruff | Anesthesiology | 7300 Sw Childs Rd, Suite A, Tigard, OR 97224-7772 | 2006-03-17 |
| 1063410520 | Kevin James Murphy | Specialist | 7300 Sw Childs Rd, Tigard, OR 97224-7713 | 2005-07-08 |
| 1124026745 | Oregon Outpatient Surgery Center LLC | Clinic/Center | 7300 Sw Childs Rd, Suite A, Tigard, OR 97224-7713 | 2005-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973139 | Katherine Raineri | Psychologist | 7213 Sw Hazel Fern Rd, Tigard, OR 97224 | 2019-07-10 |
| 1871064618 | Stacey A Wenzel | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Rd.,suite 201, Tigard, OR 97224 | 2018-12-05 |
| 1376010090 | Meredith Rae Brezinski | Physical Therapist | 18019 Sw Boones Ferry Road, Tigard, OR 97224 | 2018-10-31 |
| 1649759358 | Viktoriya A Chiliy | Behavior Technician | 15290 Sw Royalty Parkway, Tigard, OR 97224 | 2018-08-13 |
| 1609384866 | Rachel E King | Physical Therapist | 18040 Sw Lower Boones Ferry Rd Ste 200, Tigard, OR 97224 | 2018-01-22 |
| 1689190134 | Isabelle Cooper Klee Caballero | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Road Suite 201, Tigard, OR 97224 | 2017-08-16 |
| 1427573146 | Breanna M Sandefur | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224 | 2017-08-03 |
| 1083141196 | Krista Espenship | Registered Nurse | 8032 Sw Ashford St, Tigard, OR 97224 | 2017-05-19 |
| 1275067928 | Emily Elizabeth Myers | Behavioral Analyst | 15290 Royalty Parkway, Tigard, OR 97224 | 2017-04-19 |
| 1235684937 | Melanie Salvador | Nurse Practitioner | 15352 Sw Oakmont Pl, Tigard, OR 97224 | 2016-08-23 |
| Find all providers in zip 97224 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013919919 | Scott Roberts Grewe | Orthopaedic Surgery | 15755 Sw Sequoia Pkwy, Suite 200, Tigard, OR 97224-7166 | 2005-08-11 |
| 1053586016 | Brian L Puskas | Orthopaedic Surgery | 15755 Sw Sequoia Pkwy Ste 200, Tigard, OR 97224-7166 | 2008-04-29 |
| 1386717882 | Christopher J Nanson | Orthopaedic Surgery | 15755 Sw Sequoia Pkwy, Suite 200, Tigard, OR 97224-7166 | 2006-11-15 |
| 1972695146 | Walter Aldine Smith Jr. | Orthopaedic Surgery | 9250 Sw Hall Blvd, Tigard, OR 97223 | 2006-09-28 |
| 1861503294 | Michael D Hwang | Orthopaedic Surgery | 9250 Sw Hall Blvd, Tigard, OR 97223-6857 | 2006-08-31 |
| 1770527079 | Ron Bowman Md PC | Orthopaedic Surgery | 9445 Sw Locust St, Tigard, OR 97223-6634 | 2006-06-16 |
| 1467454181 | Gregory W. Irvine | Orthopaedic Surgery | 15755 Sw Sequoia Pkwy, Ste 200, Tigard, OR 97224-7166 | 2005-08-12 |
| 1457353179 | Robert Joseph Wilson | Orthopaedic Surgery | 15755 Sw Sequoia Pkwy, Suite 200, Tigard, OR 97224-7166 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871110338 | Praxis Medical Group Inc | Orthopaedic Surgery | 354 W. Adams Avenue, Sisters, OR 97759 | 2020-07-01 |
| 1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
| 1598252272 | Venel Orthopaedic Institute At Lake Andrew | Orthopaedic Surgery | 10000 Se Main St Ste 205, Portland, OR 97216-2448 | 2018-04-18 |
| 1881108918 | Vvrx Pharmacy Billing Solutions LLC | Orthopaedic Surgery | 7427 Sw Coho Ct Ste 200, Tualatin, OR 97062-8618 | 2017-11-28 |
| 1427404672 | Jay Shelton Cox | Orthopaedic Surgery | 80 Raven Lane, Depoe Bay, OR 97341-0185 | 2016-05-06 |
| 1710382296 | Michael Baskin Md LLC | Orthopaedic Surgery | 4166 Sw Greenleaf Dr, Portland, OR 97221-3225 | 2014-10-27 |
| 1568864171 | Thomas P Mcweeney Md PC | Orthopaedic Surgery | 19255 Sw 65th Ave Ste 110, Tualatin, OR 97062-9717 | 2014-09-25 |
| 1083030266 | Ryan Thomas Colley | Orthopaedic Surgery | 707 Murphy Rd, Medford, OR 97504-8520 | 2014-03-11 |
| 1730505488 | David William Waldram | Orthopaedic Surgery | 15200 Sw Aquatic View, Powell Butte, OR 97753 | 2014-03-05 |
| 1346582525 | Derek Beeson Smith | Orthopaedic Surgery | 1140 Sw Simpson Ave Ste 100, Bend, OR 97702 | 2013-03-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.