DANIEL ALEXANDER ANANYEV (NPI# 1255678439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255678439 |
| Entity Type | Individual |
| Full Name | DANIEL ALEXANDER ANANYEV |
| Credential | D.O. |
| Practice Address |
16180 Se Sunnyside Rd Ste 102 Happy Valley OR 97015-6302 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5035824900 |
| Practice Fax Number | 5035824999 |
| Mailing Telephone | 5032156494 |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2020-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | DO166843 | OR | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10201 Se Main St Ste 10, Portland, OR 972162937 | 5032552186 | 5032552194 |
| Street Address |
16180 SE SUNNYSIDE RD STE 102 |
| City | HAPPY VALLEY |
| State | OR |
| Zip Code | 97015-6302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982269742 | Destiny Knocker | Nurse Practitioner | 16180 Se Sunnyside Rd Ste 102, Happy Valley, OR 97015-6302 | 2019-05-07 |
| 1083018204 | Jocelyn C Smith | Dietitian, Registered | 16180 Se Sunnyside Rd Ste 102, Happy Valley, OR 97015-6302 | 2014-10-17 |
| 1720405566 | Theodore Roy Askwith II | Psychologist | 16180 Se Sunnyside Rd Ste 102, Happy Valley, OR 97015-6302 | 2014-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103517 | Laurel Perilli | Physical Therapist | 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 | 2018-08-07 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1902317266 | Darcy Jones Hamrick | Counselor | 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 | 2017-10-13 |
| 1841723384 | Manon Lavoie | Chiropractor | 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 | 2017-04-11 |
| 1235670126 | Michael G Short | Pedorthist | 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 | 2017-03-13 |
| 1487100756 | Michael Joseph Peizner | Pharmacist | 16300se Evelyn Street, Clackamas, OR 97015 | 2016-08-28 |
| 1316395619 | Jennifer Elaine Walkowski | Physical Therapist | 9100 Se Sunnyside Road, Clackamas, OR 97015 | 2016-05-26 |
| 1649635384 | Brookside Dental - Milwaukie, LLC | Dentist | 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 | 2015-12-23 |
| 1801216130 | Robert D. Grew Dmd, Inc. | Dentist | 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 | 2014-04-25 |
| 1508205410 | Valerie P Tabalno | Massage Therapist | 15661 Se 82nd Dr, Clackamas, OR 97015 | 2013-06-25 |
| Find all providers in zip 97015 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568625945 | Larry Lyman Tibbles | Family Medicine | 8601 Se 141st Ct, Happy Valley, OR 97086-5648 | 2008-07-07 |
| 1790777480 | Valley View Medical Clinic PC | Family Medicine | 14785 Se Oregon Trail Dr, Happy Valley, OR 97015-6446 | 2005-08-18 |
| 1316460876 | Sunrise Corporate Services, LLC | Family Medicine | 9300 Se 91st Ave Ste 201, Happy Valley, OR 97086-3762 | 2017-07-17 |
| 1134539851 | Alan Craig Thom | Family Medicine | 9200 Se 91st Ave Ste 220, Happy Valley, OR 97086-3756 | 2014-05-02 |
| 1053627331 | Paula M Crone, Do PC | Family Medicine | 9200 Se 91st Ave Ste 220, Happy Valley, OR 97086-3756 | 2010-08-25 |
| 1437460193 | Tetyana O Odarich | Family Medicine | 9300 Se 91st Ave Ste 201, Happy Valley, OR 97086-3762 | 2010-06-28 |
| 1932344199 | Christine Gray | Family Medicine | 16180 Se Sunnyside Rd, Suite 102, Happy Valley, OR 97015-6301 | 2008-12-02 |
| 1508055781 | Creekside Family Practice, LLC | Family Medicine | 9200 Se 91st Ave, Suite #220, Happy Valley, OR 97086-3756 | 2007-10-23 |
| 1346466323 | Brenda Diane Roberts | Family Medicine | 16180 Se Sunnyside Rd, Ste 102, Happy Valley, OR 97015-6301 | 2007-04-18 |
| 1083746200 | Elizabeth D. Orth | Family Medicine | 16180 Se Sunnyside Rd, Suite 102, Happy Valley, OR 97015-6301 | 2007-03-12 |
| Find all providers in HAPPY VALLEY | ||||
| City | HAPPY VALLEY |
| Zip Code | 97015 |
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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.