DR. CHARLES A KOSYDAR (NPI# 1124221783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124221783 |
| Entity Type | Individual |
| Full Name | DR. CHARLES A KOSYDAR |
| Credential | MD |
| Practice Address |
9400 Sw Barnes Rd Suite 150 Portland OR 97225-6608 |
| Practice Telephone | 5037976356 |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2017-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
60208164 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
9400 SW BARNES RD SUITE 150 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-6608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316262108 | Jonathan Carnell | Radiology | 5050 Ne Hoyt St Ste 625, Portland, OR 97213-2991 | 2010-04-05 |
| 1770745846 | Justin Christopher Ord | Radiology | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2008-06-30 |
| 1033272059 | Thomas Frederick Hirsh | Radiology | 800 Sw 13th Ave, Portland, OR 97205 | 2006-12-19 |
| 1669540506 | Shaun D Samuelson | Radiology | 22 Bramhall St, Portland, ME 04102-3134 | 2006-11-30 |
| 1487681375 | Elena Wechsler | Radiology | 144 State St, Portland, ME 04101-3776 | 2006-06-27 |
| 1306800453 | Fergus Coakley | Radiology | 3181 Sw Sam Jackson Park Rd, Ohsu, Portland, OR 97239-3011 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174774285 | Ronald P Morro | Radiology | 315 Winchuck River Rd, Brookings, OR 97415-8311 | 2008-10-07 |
| 1326513367 | Confederated Tribes of Grand Ronde Community of Oregon | Radiology | 9615 Grand Ronde Rd, Grand Ronde, OR 97347-9712 | 2018-10-05 |
| 1629140793 | Harvard Lab & X-ray, Inc | Radiology | 1813 W Harvard Ave, Suite 102, Roseburg, OR 97470-2752 | 2006-11-14 |
| 1720170590 | Tyler B Lippincott | Radiology | 233 Ne 102nd Ave, Portand, OR 97220 | 2006-09-29 |
| 1285730267 | Susan Irene Wolf | Radiology | 10180 Se Sunnyside Rd, Kaiser Sunnyside Medical Office, Clackamas, OR 97015-8970 | 2006-09-16 |
| 1518063973 | Josephine O Cho | Radiology | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2006-09-15 |
| 1386746782 | Ronald Wayne Philips | Radiology | 10180 Se Sunnyside Rd, Clackamas, OR 97015-9764 | 2006-09-05 |
| 1619946563 | Joe A Pastrano | Radiology | 842 E Main St, Medford, OR 97504-7134 | 2006-03-14 |
Please comment or provide details below to improve the information on DR. CHARLES A KOSYDAR.
| 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.