JAMES FRANCIS DEITLE PA-C NPI 1003000753
Physician Assistant in Portland, OR
About JAMES DEITLE
James Deitle is a provider established in Portland, Oregon and his medical specialization is physician assistant with more than 46 years of experience. The NPI number of James Deitle is 1003000753 and was assigned on September 2007. The practitioner's primary taxonomy code is 363A00000X with license number 153509 (OR). The provider is registered as an individual and his NPI record was last updated 9 years ago. James Deitle is enrolled in PECOS and is registered with Medicare and accepts claims assignment.
| NPI | 1003000753 |
| Provider Name | JAMES FRANCIS DEITLE PA-C |
| Provider Location Address | 501 N GRAHAM ST SUITE #580 PORTLAND, OR 97227 |
| Provider Mailing Address | 501 N GRAHAM ST SUITE #580 PORTLAND, OR 97227 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 1975 |
| Is Sole Proprietor? | No |
| Is Organization Subpart? | N/A |
| Enumeration Date | 09-05-2007 |
| Last Update Date | 01-22-2011 |
Primary Taxonomy
| Taxonomy Code | 363A00000X |
| Classification | Physician Assistant |
| Type | Physician Assistants & Advanced Practice Nursing Providers |
| License No. | 153509 |
| License State | OR |
| Taxonomy Description | A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
Business Address
JAMES FRANCIS DEITLE PA-C
501 N GRAHAM ST
SUITE #580
PORTLAND, OR
ZIP 97227
Phone: (503) 528-0704
Fax: (503) 528-0708
Mailing Address
JAMES FRANCIS DEITLE PA-C
501 N GRAHAM ST
SUITE #580
PORTLAND, OR
ZIP 97227
Phone: (503) 528-0704
Fax: (503) 528-0708
Medicare Participation
| Registered in PECOS? | Yes What is PECOS? PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare’s enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims. |
| PECOS PAC ID | 5496704884 |
| PECOS Enrollment ID | I20100619000136 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. |
| Part B Clinical Laboratory and Imaging | Yes |
| Durable Medical Equipment | Yes |
| Home Health Agency (HHA) | Yes |
| Power Mobility Devices | Yes |
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 664 | AK | No | |
Taxonomy Description: a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. | |||||||
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1003883026 | DR. KARIN ANN SELVA MD Individual | Pediatrics (Pediatric Endocrinology) | 501 N GRAHAM ST SUITE 375 PORTLAND, OR 97227 (503) 413-1600 |
| 1043287204 | MRS. PATRICIA KREINBERG VROOMAN CPNP Individual | Nurse Practitioner (Pediatrics) | 501 N GRAHAM ST SUITE 355 PORTLAND, OR 97227 (503) 413-2560 |
| 1063407690 | DR. THOMAS O FLATH M.D., Individual | Specialist | 501 N GRAHAM ST SUITE 525 PORTLAND, OR 97227 (503) 249-5454 |
| 1104890557 | MR. JUDAH GOLD-MARKEL PA-C Individual | Physician Assistant | 501 N GRAHAM ST SUITE 415 PORTLAND, OR 97227 (503) 413-3580 |
| 1346218542 | DR. JOHN ANDREW MCQUESTON SR. MD Individual | Pediatrics (Pediatric Pulmonology) | 501 N GRAHAM ST SUITE 320 PORTLAND, OR 97227 (503) 459-4540 |
| 1346222494 | DOUGLAS H KING MD Individual | Pediatrics (Pediatric Cardiology) | 501 N GRAHAM ST #220 PORTLAND, OR 97227 (503) 280-3418 |
| 1356328223 | DAVID M MCIRVIN MD Individual | Pediatrics (Pediatric Cardiology) | 501 N GRAHAM ST #220 PORTLAND, OR 97227 (503) 280-3418 |
| 1386610277 | DR. ALEXANDER DEMETRE NICOLOFF M.D. Individual | Surgery (Vascular Surgery) | 501 N GRAHAM ST SUITE 415 PORTLAND, OR 97227 (503) 413-3580 |
| 1437127644 | A PERRY HENDIN MD Individual | Internal Medicine | 501 N GRAHAM ST STE 100 PORTLAND, OR 97227 (503) 249-5780 |
| 1437128451 | TRACY L LAIDLEY MD Individual | Internal Medicine | 501 N GRAHAM ST STE 100 PORTLAND, OR 97227 (503) 249-5780 |
| 1467449462 | THE UROLOGY CLINIC PC Organization | Urology | 501 N GRAHAM ST STE 420 PORTLAND, OR 97227 (503) 288-7303 |
| 1497740369 | DR. AMY Z SCHMITKE M.D. Individual | Specialist | 501 N GRAHAM ST SUITE 525 PORTLAND, OR 97227 (503) 249-5454 |
| 1528036720 | STEVEN P SERES MD Individual | Internal Medicine | 501 N GRAHAM ST STE 100 PORTLAND, OR 97227 (503) 249-5780 |
| 1710955018 | DR. EDWARD NIGEL GUILLERY M.D. Individual | Pediatrics (Pediatric Nephrology) | 501 N GRAHAM ST SUITE 340 PORTLAND, OR 97227 (503) 280-3620 |
| 1811966518 | CHRISTOPHER A ACHTERMAN MD Individual | Orthopaedic Surgery | 501 N GRAHAM ST SUITE 200 PORTLAND, OR 97227 (503) 413-4488 |
| 1821066416 | MAYA KOIKE HUNTER MD Individual | Pediatrics (Pediatric Endocrinology) | 501 N GRAHAM ST SUITE 375 PORTLAND, OR 97227 (503) 413-1600 |
| 1821085895 | DR. ROBERT MOORE MD Individual | Urology | 501 N GRAHAM ST SUITE 420 PORTLAND, OR 97227 (503) 288-7303 |
| 1881675221 | MARC D LEGRAS MD Individual | Pediatrics (Pediatric Cardiology) | 501 N GRAHAM ST #220 PORTLAND, OR 97227 (503) 280-3418 |
| 1972584753 | JAMES P KYSER MD Individual | Pediatrics (Pediatric Cardiology) | 501 N GRAHAM ST #220 PORTLAND, OR 97227 (503) 208-3418 |
| 1992789747 | MR. JEFFERSON WILLIAM CHEN MD PHD Individual | Neurological Surgery | 501 N GRAHAM ST PACIFIC NEURSURGICAL PC #580 PORTLAND, OR 97227 (503) 788-6721 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.