INTERSTATE MEDICAL OFFICE SOUTH
NPI 1467903013
General Practice in Portland, OR

NPI Status: Active since October 19, 2016

Contact Information

3500 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227
Phone: (800) 813-2000
Fax: (503) 286-6879

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  • Organization
  • General Practice
  • Accepts Insurance

About INTERSTATE MEDICAL OFFICE SOUTH

This page provides the complete NPI Profile along with additional information for Interstate Medical Office South, a primary care provider established in Portland, Oregon operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1467903013 assigned on October 2016. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Interstate Medical Office South operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Interstate Medical Office South. The authorized official of this NPI record is Stephen Shawn Barton (Executive Director, Revenue Cycle)

NPI
1467903013
Provider Legal Name
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Other Organization Name
INTERSTATE MEDICAL OFFICE SOUTH
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
3500 N INTERSTATE AVE PORTLAND, OR 97227
Location Phone
(800) 813-2000
Location Fax
(503) 286-6879
Mailing Address
500 NE MULTNOMAH ST PORTLAND, OR 97232
Mailing Phone
(800) 813-2000
Mailing Fax
(503) 286-6879
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-19-2016
Last Update Date
06-01-2021
Code Navigator

A primary care provider (PCP) like Interstate Medical Office South sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • KP OR Bronze 6000 - EPO
  • KP OR Bronze HSA 7100 - EPO
  • KP OR Gold 0 - EPO
  • KP OR Gold 1750 - EPO
  • KP OR Silver 3000 - EPO
  • KP OR Silver 4000 - EPO
  • KP Oregon Standard Bronze Plan - EPO
  • KP Oregon Standard Gold Plan - EPO
  • KP Oregon Standard Silver Plan - EPO
  • KP OR Family Dental - $100 Ded - EPO
  • KP OR Family Dental - $1000 - EPO
  • KP OR Family Dental - $1000/$50 Ded - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STEPHEN SHAWN BARTON

Authorized Official Title
EXECUTIVE DIRECTOR, REVENUE CYCLE
Authorized Official Phone
(503) 813-2440

Reviews for INTERSTATE MEDICAL OFFICE SOUTH

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1467903013
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24127180602
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 1 + 8 + 0 + 6 + 0 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1467903013 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

GREGORY J DAVENPORT PA-C

Physician Assistant

3500 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227

(503) 331-6101

SCOTT LUCAS M.D.

Radiology

(Diagnostic Radiology)

3500 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227

(503) 285-9321

DR. ROBERT SPEIRS III M.D.

Radiology

(Diagnostic Radiology)

3500 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227

(503) 285-9321

FRANK JAMES MCKOWNE M.D.

Radiology

(Diagnostic Radiology)

3500 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227

(503) 285-9321

DR. BRIAN J GEHRING MD

Radiology

(Diagnostic Radiology)

3500 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227

(503) 285-9321

DR. MICHAEL ANTHONY SIEGEL M.D.

Radiology

(Diagnostic Radiology)

3500 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227

(502) 285-9321

MRS. ALICIA D SHEPROW PA

Physician Assistant

3500 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227

(503) 331-6101

DR. WILLIAM LEE MELCHER M.D.

Internal Medicine

(Rheumatology)

3500 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227

(503) 331-6492

DR. ROBERT KAO MD

Nuclear Medicine

3500 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227

(503) 331-6160

ROBERT SHNEIDMAN M.D.

Internal Medicine

(Gastroenterology)

3500 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227

(503) 331-6170

MR. JASON JOHN POWERS M.D.

Internal Medicine

(Gastroenterology)

3500 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227

(503) 331-6170

DR. ARNOLD JAY KLEIN M.D.

Specialist

3500 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227

(503) 285-9321

DR. THOMAS BODLEY STIBOLT JR. M.D.

Internal Medicine

(Critical Care Medicine)

3500 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227

(503) 652-2880

MADALENE CLAIRE ANDERSON FNP

Nurse Practitioner

(Family)

3500 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227

(503) 285-9321

MR. ROBERT WILLIAM BUSCHMAN P.A.

Physician Assistant

3500 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227

(503) 285-9321

WENDY KNUDSEN M.D.

Anesthesiology

3500 N INTERSTATE AVE
SURGICENTER INTERSTATE SOUTH
PORTLAND, OR
ZIP 97227

(503) 644-7220

JAMES PAUL KULIK MD

Physical Medicine & Rehabilitation

(Pain Medicine)

3500 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227

(503) 285-9321

DR. HERBERT ROTH SALOMON M.D.

Internal Medicine

(Gastroenterology)

3500 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227

(503) 813-2843

DR. ANTHONY IVAN KOSTINER M.D.

Radiology

(Diagnostic Radiology)

3500 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227

(503) 904-8190

KEVIN PAUL JONES D.O.

Internal Medicine

(Gastroenterology)

3500 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227

(503) 331-6170

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467903013, enumerated in the NPI registry as an "organization" on October 19, 2016

The provider is located at 3500 N Interstate Ave Portland, Or 97227 and the phone number is (800) 813-2000

This medical organization specializes in General Practice with taxonomy code 208D00000X

The provider might be accepting Accepts: Kaiser Permanente. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 19, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.