MCPHERSON SCOTT BEALL III (NPI# 1518996388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518996388 |
| Entity Type | Individual |
| Full Name | MCPHERSON SCOTT BEALL III |
| Credential | MD |
| Practice Address |
11782 Sw Barnes Rd Suite 300 Portland OR 97225-5914 |
| Practice Telephone | 5032145200 |
| Practice Fax Number | 5039066613 |
| Mailing Telephone | 5032145200 |
| Mailing Fax Number | 5039066613 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | MD26071 | OR | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
MD26071 | OR | Allopathic & Osteopathic Physicians |
| Y | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
MD26071 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | STATE MEDICAL LICENSE | 26071 | 01 |
| OR | DEA # | BB7051408 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528050390 | Mcpherson Scott Beall Jr. | Orthopaedic Surgery | 10777 Nall Ave, Suite 300, Overland Park, KS 66211-1231 | 2005-08-18 |
| Street Address |
11782 SW BARNES RD SUITE 300 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-5914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801889399 | Brett M Andres | Orthopaedic Surgery | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225-5914 | 2005-08-30 |
| 1982179560 | Andrew Stanton | Physician Assistant | 11782 Sw Barnes Rd, Portland, OR 97225-5914 | 2018-10-10 |
| 1790226322 | Melissa Ann Senn-reis | Specialist/Technologist | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225-5914 | 2017-03-15 |
| 1902344187 | Corvin W Tompkins | Specialist/Technologist, Other | 11782 Sw Barnes Rd, Suite 200, Portland, OR 97225-5914 | 2017-02-07 |
| 1073059754 | Daniel Lewis Fisher | Specialist/Technologist, Other | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225-5914 | 2017-01-18 |
| 1891189056 | Martha Miller | Specialist/Technologist | 11782 Sw Barnes Rd, Portland, OR 97225-5914 | 2015-03-26 |
| 1598170425 | Ashley Wood | Physician Assistant | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225-5914 | 2014-06-30 |
| 1184962128 | Michele Shivack | Physical Therapist | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225-5914 | 2013-01-25 |
| 1366799405 | Jessica Lynn Martschinske | Specialist/Technologist | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225-5914 | 2012-08-08 |
| 1235485053 | Nick Adam George | Physical Therapist | 11782 Sw Barnes Rd, Ste 100, Portland, OR 97225-5914 | 2012-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 2086S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgery of the Hand |
| A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508850967 | Morris Button | Surgery | 5051 Se Hawthorne Blvd, Portland, OR 97215-3255 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265560742 | Charles Roger Starr | Surgery | 550 22nd St, Astoria, OR 97103-3312 | 2007-02-28 |
| 1558388025 | Kenneth M Wilson | Surgery | 700 Bellevue St Se, Suite 260, Salem, OR 97301-3819 | 2006-07-17 |
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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.