DR. JOHN W JENDRZEJEWSKI (NPI# 1225034911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225034911 |
| Entity Type | Individual |
| Full Name | DR. JOHN W JENDRZEJEWSKI |
| Credential | MD |
| Practice Address |
9701 Sw Barnes Rd Ste 300 Portland OR 97225-6689 |
| Practice Telephone | 5032978081 |
| Practice Fax Number | 5032926601 |
| Mailing Telephone | 5032978081 |
| Mailing Fax Number | 5032926601 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2008-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD09971 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 042143 | 05 |
| Street Address |
9701 SW BARNES RD STE 300 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-6689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386640688 | Philip T Alexander | Surgery | 9701 Sw Barnes Rd, Ste 140, Portland, OR 97225 | 2005-06-22 |
| 1225588924 | West Hills Gastroenterology Equipment Corp | Clinic/Center | 9701 Sw Barnes Rd, Suite 310, Portland, OR 97225-6772 | 2016-10-06 |
| 1407241490 | Martha Wiggers | Physician Assistant | 9701 Sw Barnes Rd, Suite 150, Portland, OR 97225-6772 | 2015-04-06 |
| 1053720201 | Sarah Elizabeth Hadfield | Physician Assistant | 9701 Sw Barnes Rd, Suite 130, Portland, OR 97225-6772 | 2014-08-12 |
| 1780099366 | Katherine J Snow | Social Worker | 9701 Sw Barnes Rd, Suite 299, Portland, OR 97225-6772 | 2014-06-23 |
| 1215278361 | Bailey A Hasty | Physician Assistant | 9701 Sw Barnes Rd, Suite 200, Portland, OR 97225-6772 | 2013-03-13 |
| 1740542919 | Jessica D Benedict | Nurse Practitioner | 9701 Sw Barnes Rd, Suite 200, Portland, OR 97225-6772 | 2012-06-13 |
| 1326314196 | Praestantia Associates, LLC | Nurse Anesthetist, Certified Registered | 9701 Sw Barnes Rd, Suite 150, Portland, OR 97225-6772 | 2012-03-27 |
| 1720387954 | Metropolitan Anesthesia LLC | Nurse Anesthetist, Certified Registered | 9701 Sw Barnes Rd, Suite 300, Portland, OR 97225-6772 | 2011-03-28 |
| 1225359987 | Margot Louise Herman | Internal Medicine | 9701 Sw Barnes Rd, Suite 300, Portland, OR 97225-6772 | 2010-06-17 |
| Find all providers in the same location | ||||
| 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 | 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.