MICHAEL DAVID SKOKAN (NPI# 1245223395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245223395 |
| Entity Type | Individual |
| Full Name | MICHAEL DAVID SKOKAN |
| Credential | MD |
| Practice Address |
1111 Ne 99th Ave Suite 200 Portland OR 97220-9428 |
| Mailing Address |
847 Ne 19th Ave Suite 300 Portland OR 97232-2684 |
| Practice Telephone | 5039633030 |
| Practice Fax Number | 5039633140 |
| Mailing Telephone | 5039632801 |
| Mailing Fax Number | 5039632825 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2013-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD22956 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8271744 | 05 | |
| OR | 287876 | 05 |
| Street Address |
1111 NE 99TH AVE SUITE 200 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97220-9428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578568499 | David Arthur Schroeder | Internal Medicine | 1111 Ne 99th Ave, Suite 201, Portland, OR 97220-9428 | 2005-06-16 |
| 1942788013 | Stephanie Smith | Physical Therapist | 1111 Ne 99th Ave, Portland, OR 97220-9428 | 2018-08-01 |
| 1114405131 | Robert Francis Graham | Physical Therapist | 1111 Ne 99th Ave, Portland, OR 97220-9428 | 2018-08-01 |
| 1962952655 | Portland Gastroenterology Equipment | Clinic/Center | 1111 Ne 99th Ave, Suite 302, Portland, OR 97220-9428 | 2016-10-06 |
| 1346609534 | Theresa Orazio Wear | Nurse Practitioner | 1111 Ne 99th Ave, Portland, OR 97220-9428 | 2016-02-16 |
| 1023483799 | Alyssa Marie O'brien | Dietitian, Registered | 1111 Ne 99th Ave, Portland, OR 97220-9428 | 2015-12-07 |
| 1134504103 | Ross Alan Vannorman | Physician Assistant | 1111 Ne 99th Ave, Portland, OR 97220-9428 | 2015-07-20 |
| 1558748293 | Carly Jacqueline Griffin | Nurse Practitioner | 1111 Ne 99th Ave, Portland, OR 97220-9428 | 2015-05-01 |
| 1932507472 | Amanda Vandeventer | Physician Assistant | 1111 Ne 99th Ave, Suite 201, Portland, OR 97220-9428 | 2014-12-16 |
| 1346645843 | Whitni Nicole Friberg | Physician Assistant | 1111 Ne 99th Ave, Portland, OR 97220-9428 | 2014-10-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
| 1336780618 | Joan Lambert | Technician | 2802 Ne 108th Avenue, Portland, OR 97220 | 2019-10-08 |
| 1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
| 1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
| 1487178711 | Andrew Shonk | Massage Therapist | 163 Ne 102nd Ave Blid V, Portland, OR 97220 | 2017-07-28 |
| 1548781693 | Greater New Hope Family Services | Lodging | 11868 Ne Sandy Blvd, Portland, OR 97220 | 2017-06-29 |
| 1245771740 | Maria Teresa Banez Salcedo | Registered Nurse | 10300 Ne Hancock Street, Portland, OR 97220 | 2017-03-16 |
| 1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
| 1962945956 | Linda Ann Oldenburg | Registered Nurse | 9515 Ne Skidmore Avenue, Portland, OR 97220 | 2016-11-23 |
| 1326493446 | Trent D. Wilson | Massage Therapist | 8401 Ne Halsey St., Suite 101, Portland, OR 97220 | 2016-04-26 |
| Find all providers in zip 97220 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1750648432 | Robert Dreisin | Internal Medicine | 6350 Sw Burlingame Ave, Portland, OR 97239-2635 | 2012-04-18 |
| 1962645549 | Elham Karamooz | Internal Medicine | Ohsu, 3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2009-04-13 |
| 1831368554 | Ohsu Medical Group | Internal Medicine | 2115 Sw River Pkwy, Portland, OR 97201-8024 | 2008-02-27 |
| 1184824351 | Rick Balestra | Internal Medicine | 1111 Ne 99th Ave Ste 200, Portland, OR 97220-9442 | 2007-07-24 |
| 1316920564 | Sumangala F Huded | Internal Medicine | 78 Marlborough St, Portland, CT 06480-4801 | 2005-11-22 |
| 1124020987 | Asha Narasimhan Chesnutt | Internal Medicine | 9427 Sw Barnes Rd Ste 296, Portland, OR 97225-6667 | 2005-08-11 |
| 1376954156 | Crystal Ann Duran | Internal Medicine | 9427 Sw Barnes Rd Ste 296, Portland, OR 97225-6667 | 2014-05-14 |
| 1427476159 | Robert Gerard Wheeler | Internal Medicine | 9427 Sw Barnes Rd Ste 296, Portland, OR 97225-6667 | 2014-03-31 |
| 1992065080 | Mainehealth | Internal Medicine | 22 Bramhall St, Portland, ME 04102 | 2012-05-22 |
| 1962778902 | Matthew Champion | Internal Medicine | 2222 Nw Lovejoy St Ste 411, Portland, OR 97210-5102 | 2012-03-23 |
| 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.