DR. RONALD DAVID PRAUNER (NPI# 1104885409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104885409 |
| Entity Type | Individual |
| Full Name | DR. RONALD DAVID PRAUNER |
| Credential | M.D. |
| Practice Address |
2801 N. Gantenbein Ave, 3rd Floor Portland OR 97227 |
| Practice Telephone | 5032769300 |
| Practice Fax Number | 5032769351 |
| Mailing Telephone | 5032769300 |
| Mailing Fax Number | 5032769351 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2015-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
18379 | NE | Allopathic & Osteopathic Physicians |
| Street Address |
2801 N. GANTENBEIN AVE, 3RD FLOOR |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447439468 | Nameeta Penkar Richard | Pediatrics | 2801 N. Gantenbein Ave, 3rd Floor, Randall Children's Hospital At Legacy Emanuel, Portland, OR 97227 | 2007-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1851955975 | Erin Marie Staples | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 | 2019-04-24 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1730615071 | Mehran Giblin | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 | 2017-05-05 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| 1407300205 | Jenna Abernathy | Counselor | 3537 N Williams Ave, Portland, OR 97227 | 2016-08-09 |
| 1215390760 | Tanya Marie Woods | Massage Therapist | 3808 N. Williams Ave., Portland, OR 97227 | 2016-04-01 |
| 1033596853 | Eric Allen Martin | Counselor | 2054 N. Vancouver Ave, Portland, OR 97227 | 2015-04-30 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| Find all providers in zip 97227 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407967912 | Trisha E Wong | Pediatrics | 3181 Sam Jackson Park Road, Ohsu, Pediatric Hem/onc Cdrcp, Portland, OR 97239 | 2006-08-31 |
| 1538174024 | Eneida R. Nemecek | Pediatrics | 3181 Sw Sam Jackson Park Rd # Cdrc-p, Portland, OR 97239-3011 | 2006-07-31 |
| 1033529136 | Colette Renee Lauhan | Pediatrics | 2801 N Gantenbein Ave Fl 3, Portland, OR 97227-1623 | 2014-04-29 |
| 1700205077 | Kellee Nicole Parker | Pediatrics | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2014-04-15 |
| 1750657318 | Katrina Anne Winsnes | Pediatrics | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2012-03-28 |
| 1720353055 | Marie Hogan | Pediatrics | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2012-03-20 |
| 1366608911 | Kristina Maria Haley | Pediatrics | 3181 Sw Sam Jackson Park Rd, Mail Code Cdrcp, Portland, OR 97239-3011 | 2008-08-04 |
| 1447426077 | John Hitchings Carter | Pediatrics | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2008-05-04 |
| 1386818862 | Melinda Diana Wu | Pediatrics | 3181 Sw Sam Jackson Park Rd, Cdrc-p, Portland, OR 97239-3011 | 2008-04-16 |
| 1982809729 | Krysta Dawn Schlis | Pediatrics | 3181 Sw Sam Jackson Park Rd, Cdrcp, Portland, OR 97239-3011 | 2007-06-20 |
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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.