DR. ELLIOT JOO (NPI# 1033322128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033322128 |
| Entity Type | Individual |
| Full Name | DR. ELLIOT JOO |
| Credential | MD |
| Practice Address |
10000 Se Main St Suite 112 Portland OR 97216-2448 |
| Practice Telephone | 5032553054 |
| Practice Fax Number | 5032557651 |
| Mailing Telephone | 5032553054 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2012-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD156950 | OR | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
10000 SE MAIN ST SUITE 112 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97216-2448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194729798 | Charles L Colip | Specialist | 10000 Se Main St, Ste 203, Portland, OR 97216-2442 | 2005-06-10 |
| 1538603733 | Patrick Schrank | Physician Assistant | 10000 Se Main St, Suite 224, Portland, OR 97216-2448 | 2016-12-07 |
| 1912303504 | Alexis Marie Bonfiglio | Physician Assistant | 10000 Se Main St, Suite 116, Portland, OR 97216-2448 | 2014-11-10 |
| 1790188258 | Bret Gene Ball LLC | Specialist | 10000 Se Main St, 318, Portland, OR 97216-2448 | 2014-09-29 |
| 1396177937 | Bridgetown Medical Group P.C. | Obstetrics & Gynecology | 10000 Se Main St, Suite 212, Portland, OR 97216 | 2013-08-06 |
| 1083967020 | Won Bahng Hwee | Physician Assistant | 10000 Se Main St, Suite 342, Portland, OR 97216-2448 | 2012-10-15 |
| 1134495567 | Aaron Benjamin Case | Emergency Medicine | 10000 Se Main St, Adventist Medical Center, Portland, OR 97216-2448 | 2012-03-29 |
| 1417232869 | Sherrie Kaye Evenson | Clinical Exercise Physiologist | 10000 Se Main St, Suite 55, Portland, OR 97216-2448 | 2011-10-17 |
| 1265768774 | Jmsp LLC | Pharmacy | 10000 Se Main St, Ste 118, Portland, OR 97216-2448 | 2009-10-19 |
| 1114179116 | Mallory Marie Mcnicholas Dotson | Physician Assistant | 10000 Se Main St, Suite 112, Portland, OR 97216-2448 | 2008-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1528508520 | Damone Brown | Peer Specialist | 10209 Se Washington St, Suite D, Portland, OR 97216 | 2017-02-24 |
| 1861937237 | Malachai Investments LLC | Clinical Medical Laboratory | 10,000 Se Main St, Ste 360, Portland, OR 97216 | 2016-12-21 |
| 1881136836 | Krista Marie Darnell | Occupational Therapy Assistant | 1475, Se 100th Avenue, Portland, OR 97216 | 2016-11-08 |
| 1821456559 | Sean Kelly | Counselor | 10564 Se Washington Street, Portland, OR 97216 | 2016-02-09 |
| 1174908321 | Phil Bergland | Counselor | 11220 Se Stark St, Suite 6, Portland, OR 97216 | 2015-07-29 |
| 1134507346 | Beth Lopez | Massage Therapist | 5814 Se Stark Street, Portland, OR 97216 | 2015-05-08 |
| 1982081477 | Amelia C Hunt | Counselor | 10564 Se Washinton Street, Portland, OR 97216 | 2015-05-04 |
| 1073907978 | Karen Ta | Emergency Medicine | 10300 Se Main St, Portland, OR 97216 | 2015-03-27 |
| 1265823298 | Laura Catherine Anderson | Occupational Therapist | 1475 Se 100th Avenue, Portland, OR 97216 | 2015-02-12 |
| Find all providers in zip 97216 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003175464 | Arnab Mitra | Internal Medicine | 3181 Sw Sam Jackson Park Road, L461, Oregon Health and Science University, Portland, OR 97239-3098 | 2012-05-04 |
| 1154584241 | Dana N Hemmati | Internal Medicine | 10000 Se Main St Ste 112, Portland, OR 97216-2441 | 2008-07-08 |
| 1619138401 | Casco Bay Gastroenterology LLC | Internal Medicine | 195 Fore River Pkwy Ste 490, Portland, ME 04102-2779 | 2008-06-24 |
| 1750587945 | Charles Clark Gabbert II | Internal Medicine | 1111 Ne 99th Ave Ste 301, Portland, OR 97220-9442 | 2007-06-25 |
| 1457556086 | Marc Karl Binder | Internal Medicine | 1125 Nw 9th Ave, #431, Portland, OR 97209-2864 | 2007-06-14 |
| 1356569529 | Newell A Augur Jr. | Internal Medicine | 16 Chadwick St, Portland, ME 04102-3504 | 2007-04-23 |
| 1326117771 | John Lee Haughom | Internal Medicine | 0841 Sw Gaines St Unit 2204, Portland, OR 97239-3105 | 2006-11-07 |
| 1356431464 | Hsichao Chow | Internal Medicine | 10000 Se Main St 112, Gastroenterology Assoc, Portland, OR 97216-2441 | 2006-10-13 |
| 1356356851 | Kandice Leigh Knigge | Internal Medicine | 3181 Sw Sam Jackson Park Rd # 310, Portland, OR 97239-3011 | 2006-07-31 |
| 1841290699 | Ronald J. Hapke | Internal Medicine | 1130 Nw 22nd Ave Ste 410, Portland, OR 97210-2911 | 2005-07-22 |
| Find all providers in PORTLAND | ||||
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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.