ROBERT MAYER (NPI# 1154753457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154753457 |
| Entity Type | Individual |
| Full Name | ROBERT MAYER |
| Credential | AGPCNP |
| Practice Address |
440 Nw Division St Gresham OR 97030-5506 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5032159500 |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2016-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
201504149NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
201504149NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
RN2275111 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500690883 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477939593 | Robert Alan Mayer | Pharmacist | 3020 6th St # A, Lewiston, ID 83501-4653 | 2015-07-31 |
| 1316202765 | Robert Mayer | Physical Therapist | 6801 Bell St Ste 1400, Amarillo, TX 79109-7028 | 2012-07-11 |
| 1780875013 | Robert Glenn Mayer | Psychiatry & Neurology | 29 Greenough Ave # 1, Boston, MA 02130-2859 | 2007-08-01 |
| 1841405420 | Robert Charles Mayer | Chiropractor | 5907 Ne St Johns Rd, Vancouver, WA 98661-1749 | 2007-05-14 |
| 1073552352 | Robert D Mayer | Urology | 700 Sw Ramsey Ave Ste 101, Grants Pass, OR 97527-5788 | 2006-06-05 |
| 1528407483 | Robert J Mayer Sr. | Pharmacist | 860 Arnold Commons Dr, Arnold, MO 63010-2164 | 2013-06-24 |
| 1407057565 | Robert Harold Mayer | Pharmacist | 99 Mulford Road, Andover, NJ 07821 | 2007-05-29 |
| 1669561783 | Robert Mayer | Anesthesiology | 1775 W. Dempster, Park Ridge, IL 60068 | 2006-10-12 |
| 1003865585 | Robert S Mayer | Physical Medicine & Rehabilitation | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2006-05-10 |
| 1699748251 | Robert M Mayer | Psychiatry & Neurology | 1100 Clearwater Largo Rd N, Largo, FL 33770-4131 | 2006-02-13 |
| Street Address |
440 NW DIVISION ST |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-5506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730133679 | Sunita M Deshmukh | Internal Medicine | 440 Nw Division St, Gresham, OR 97030-5506 | 2006-05-22 |
| 1619443934 | Rebecca Youssef | Psychologist | 440 Nw Division St, Gresham, OR 97030-5506 | 2018-10-15 |
| 1194271262 | Selin Cronkrite | Physician Assistant | 440 Nw Division St, Gresham, OR 97030-5506 | 2016-08-29 |
| 1164840815 | Caroline Chase Adams | Family Medicine | 440 Nw Division St, Gresham, OR 97030-5506 | 2014-03-31 |
| 1487949582 | Sohil R Makwana | Internal Medicine | 440 Nw Division St, Gresham, OR 97030 | 2011-06-16 |
| 1437442795 | Providence Health & Services - Oregon | Clinic/Center | 440 Nw Division St, Gresham, OR 97030-5506 | 2011-05-19 |
| 1619204583 | Greta Katherine Larson | Nurse Practitioner | 440 Nw Division St, Gresham, OR 97030-5506 | 2009-11-12 |
| 1821245788 | James Sok Chong | Family Medicine | 440 Nw Division St, Gresham, OR 97030-5506 | 2008-08-22 |
| 1679792816 | Shanelle Deann O'dell | Physician Assistant | 440 Nw Division St, Gresham, OR 97030-5506 | 2007-04-25 |
| 1447323878 | Carmela C Pajarillo | Family Medicine | 440 Nw Division St, Gresham, OR 97030-5506 | 2006-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558383430 | Nancy A Erb | Nurse Practitioner | 16209 W Hoffeldt Ln, Suite B, Brookings, OR 97415-9470 | 2006-07-23 |
| 1124058789 | Elizabeth Vonwellsheim | Nurse Practitioner | 382b South 58th Street, Springfield, OR 97478 | 2006-07-03 |
| 1568419091 | Carolyn Dolores Concia | Nurse Practitioner | 2308 Nw Stimpson Ln, Portland, OR 97229-8562 | 2006-05-30 |
| 1417581315 | Well Spring Health LLC | Nurse Practitioner | 835 Crater Lake Ave, Medford, OR 97504-6505 | 2020-02-28 |
| 1821647173 | Haley Grace Ruljancich | Nurse Practitioner | 4010 Aerial Way, Eugene, OR 97402-9757 | 2019-09-10 |
| 1043862550 | Katherine Felicia Edstrom | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2019-07-15 |
| 1487216669 | Carolyn D Concia Np Prof Corp | Nurse Practitioner | 2308 Nw Stimpson Ln, Portland, OR 97229-8562 | 2019-07-08 |
| 1811550866 | Elisa Denise Garrett | Nurse Practitioner | 675 N 5th St, Lebanon, OR 97355-2875 | 2019-04-16 |
| 1255800850 | Peter Woodring | Nurse Practitioner | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301-5378 | 2018-11-13 |
| 1154809903 | Molly Christine Davis | Nurse Practitioner | 4805 Ne Glisan St Ste 11n, Portland, OR 97213-2933 | 2018-08-03 |
| Find all providers with the same taxonomy | ||||
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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.