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DAVID NERSETH IRVINE MD NPI 1366483109


NPI Information

NPI: 1366483109
Provider Name: DAVID NERSETH IRVINE, MD
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1809 MAPLE ST
FOREST GROVE, OR
ZIP 97116
Phone: (503) 357-2173
Get Directions

David Nerseth Irvine, MD is an emergency medicine in Forest Grove, OR. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. David Nerseth Irvine, MD NPI is 1366483109. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1809 MAPLE ST
FOREST GROVE, OR
ZIP 97116-939
Phone: (503) 357-2173
Fax: (503) 357-2318

The NPI 1366483109 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 2/29/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineMD15519OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18946238OTHERWASHINGTONVCR
2A49426MEDICARE UPINOREGON
3059253MEDICAIDOREGON
48240871MEDICAIDWASHINGTON
50216865OTHERWASHINGTONLIWA
6P00411762MEDICARE PINWASHINGTON
7R131337MEDICARE PINOREGON
86751HUOTHERWASHINGTONBSWA
9G8865277MEDICARE PINWASHINGTON
10P00308819MEDICARE PINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.