EDWARD J BIENIEK (NPI# 1083682744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083682744 |
| Entity Type | Individual |
| Full Name | EDWARD J BIENIEK |
| Credential | MD |
| Practice Address |
800 Sw 13th Ave Portland OR 97205-1902 |
| Mailing Address |
800 Sw 13th Ave Portland OR 97205 |
| Practice Telephone | 5032210161 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2020-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD169134 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PRESBYTIERIAN HEALTH PLAN | 201037661 | 01 | |
| MOLINA | PROVP11450 | 01 | |
| LOVELACE | 10003262 | 01 | |
| UHC | 2335564 | 01 | |
| CCN | 5402021 | 01 | |
| CIGNA | 699163 | 01 | |
| PHCS | 9440028 | 01 | |
| NM | 09634762 | 05 | |
| NM | BCBS NM | NM009A19 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1631 Hospital Dr, Suite 240, Santa Fe, NM 875054728 | 5059133975 |
| Street Address |
800 SW 13TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97205-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235129891 | Cristina Fe G Mondragon | Internal Medicine | 800 Sw 13th Ave, Portland, OR 97205-1902 | 2005-10-25 |
| 1407407489 | Chandni Patel | Pharmacist | 800 Sw 13th Ave, Portland, OR 97205-1999 | 2019-09-22 |
| 1588148381 | Chelsea Saettone | Social Worker | 800 Sw 13th Ave, Portland, OR 97205-1999 | 2018-09-18 |
| 1952888281 | Amanda Welter | Physical Therapist | 800 Sw 13th Ave, Portland, OR 97205-1902 | 2018-07-19 |
| 1265936058 | Alexander Bulochnik Shteynberg | Pharmacist | 800 Sw 13th Ave, Portland, OR 97205-1999 | 2018-03-19 |
| 1851825640 | Pooja Naik | Internal Medicine | 800 Sw 13th Ave, Portland, OR 97205-1902 | 2017-04-18 |
| 1376906669 | Thomas Dudrey | Internal Medicine | 800 Sw 13th Ave, Portland, OR 97205-1999 | 2016-04-04 |
| 1497125884 | Stephanie Nicole D'andrea | Nurse Practitioner | 800 Sw 13th Ave, Portland, OR 97205-1999 | 2015-09-29 |
| 1255745097 | Laura Chan | Pharmacist | 800 Sw 13th Ave, Portland, OR 97205-1902 | 2014-06-19 |
| 1407199094 | Yasuyo Diana Umene | Internal Medicine | 800 Sw 13th Ave, Portland, OR 97205-1902 | 2013-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871026062 | Leila Soltani | Dentist | 430 Sw 13th Ave Apt 2010, Portland, OR 97205 | 2017-04-05 |
| 1114374949 | Elizabeth Alire | Counselor | 1411 Sw Morrison St., Portland, OR 97205 | 2016-05-23 |
| 1508237462 | Pacific Psychology and Comprehensive Health Center | Community/Behavioral Health | 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 | 2015-10-16 |
| 1265803761 | Alana Branson | Naturopath | 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 | 2015-10-10 |
| 1720458011 | Kate Ohene | Counselor | 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 | 2015-09-30 |
| 1285004671 | Christina Nannette Mendoza | Counselor | 1411 Sw Morriston Street, 310, Portland, OR 97205 | 2015-09-29 |
| 1083095947 | Patricia Burton | Registered Nurse | 1312 Sw Washinghton, Portland, OR 97205 | 2015-06-16 |
| 1649663071 | Huey Holistic | Clinic/Center | 1221 Sw Yamill, Suite 300, Portland, OR 97205 | 2015-03-10 |
| 1376952796 | Joan Kendall Ayala | Counselor | 610 Sw Alder St Ste 915, Portland, OR 97205 | 2014-08-11 |
| 1316356165 | Satheara Sin | Massage Therapist | 1033 Sw Yamhill St. #403, Portland, OR 97205 | 2014-08-06 |
| Find all providers in zip 97205 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386168029 | Northwest Minimally Invasive Surgery, LLC | Surgery | 2222 Nw Lovejoy St Ste 322, Portland, OR 97210-5101 | 2017-08-02 |
| 1366897399 | Andreas Hennig | Surgery | 783 Nw Naito Pkwy Apt 502, Portland, OR 97209-4755 | 2016-04-27 |
| 1871989467 | Cameron Cangelose | Surgery | 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239-3098 | 2015-04-09 |
| 1396157962 | Fernando Leon | Surgery | 2221 Sw First Ave Apt 2322, Portland, OR 97201-5023 | 2014-05-29 |
| 1114337466 | Thomas B Knowles | Surgery | 1130 Nw 22nd Ave Ste 500, Portland, OR 97210-2976 | 2014-05-07 |
| 1659714160 | Sean Tyler Watters | Surgery | 5050 Ne Hoyt St Ste 651, Portland, OR 97213 | 2013-04-15 |
| 1528301926 | Vincent A. Reger, Md PC | Surgery | 9155 Sw Barnes Rd Ste 406, Portland, OR 97225-6641 | 2013-04-03 |
| 1235496944 | Lori Cardwell | Surgery | Ohsu Gastrointestinal & General Surgery At Chh, 3303 Sw Bond Avenue, Portland, OR 97239-4501 | 2012-04-19 |
| 1053678284 | Tyler Scott Mittelstaedt | Surgery | 9200 Se 91st Ave Ste 320, Portland, OR 97086-3756 | 2012-04-12 |
| 1285990721 | John David Webber | Surgery | 12155 Sw Wildwood St, Portland, OR 97224-2919 | 2012-04-10 |
| 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.