DOMINIC PATRICK PATILLO (NPI# 1275649162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275649162 |
| Entity Type | Individual |
| Full Name | DOMINIC PATRICK PATILLO |
| Credential | MD |
| Practice Address |
10000 Se Main St Suite 327 Portland OR 97216-2448 |
| Mailing Address |
1515 Nw 18th Ave Ste 300 Portland OR 97209-2539 |
| Practice Telephone | 5032565866 |
| Practice Fax Number | 5035178209 |
| Mailing Telephone | 5032565866 |
| Mailing Fax Number | 5032540656 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2016-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | MD151644 | OR | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
MD151644 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
10000 SE MAIN ST SUITE 327 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97216-2448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194729798 | Charles L Colip | Specialist | 10000 Se Main St, Ste 203, Portland, OR 97216-2442 | 2005-06-10 |
| 1538603733 | Patrick Schrank | Physician Assistant | 10000 Se Main St, Suite 224, Portland, OR 97216-2448 | 2016-12-07 |
| 1912303504 | Alexis Marie Bonfiglio | Physician Assistant | 10000 Se Main St, Suite 116, Portland, OR 97216-2448 | 2014-11-10 |
| 1790188258 | Bret Gene Ball LLC | Specialist | 10000 Se Main St, 318, Portland, OR 97216-2448 | 2014-09-29 |
| 1396177937 | Bridgetown Medical Group P.C. | Obstetrics & Gynecology | 10000 Se Main St, Suite 212, Portland, OR 97216 | 2013-08-06 |
| 1083967020 | Won Bahng Hwee | Physician Assistant | 10000 Se Main St, Suite 342, Portland, OR 97216-2448 | 2012-10-15 |
| 1134495567 | Aaron Benjamin Case | Emergency Medicine | 10000 Se Main St, Adventist Medical Center, Portland, OR 97216-2448 | 2012-03-29 |
| 1417232869 | Sherrie Kaye Evenson | Clinical Exercise Physiologist | 10000 Se Main St, Suite 55, Portland, OR 97216-2448 | 2011-10-17 |
| 1265768774 | Jmsp LLC | Pharmacy | 10000 Se Main St, Ste 118, Portland, OR 97216-2448 | 2009-10-19 |
| 1114179116 | Mallory Marie Mcnicholas Dotson | Physician Assistant | 10000 Se Main St, Suite 112, Portland, OR 97216-2448 | 2008-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1528508520 | Damone Brown | Peer Specialist | 10209 Se Washington St, Suite D, Portland, OR 97216 | 2017-02-24 |
| 1861937237 | Malachai Investments LLC | Clinical Medical Laboratory | 10,000 Se Main St, Ste 360, Portland, OR 97216 | 2016-12-21 |
| 1881136836 | Krista Marie Darnell | Occupational Therapy Assistant | 1475, Se 100th Avenue, Portland, OR 97216 | 2016-11-08 |
| 1821456559 | Sean Kelly | Counselor | 10564 Se Washington Street, Portland, OR 97216 | 2016-02-09 |
| 1174908321 | Phil Bergland | Counselor | 11220 Se Stark St, Suite 6, Portland, OR 97216 | 2015-07-29 |
| 1134507346 | Beth Lopez | Massage Therapist | 5814 Se Stark Street, Portland, OR 97216 | 2015-05-08 |
| 1982081477 | Amelia C Hunt | Counselor | 10564 Se Washinton Street, Portland, OR 97216 | 2015-05-04 |
| 1073907978 | Karen Ta | Emergency Medicine | 10300 Se Main St, Portland, OR 97216 | 2015-03-27 |
| 1265823298 | Laura Catherine Anderson | Occupational Therapist | 1475 Se 100th Avenue, Portland, OR 97216 | 2015-02-12 |
| Find all providers in zip 97216 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477784791 | C.todd Woolley Md PC | Orthopaedic Surgery | 2222 Nw Lovejoy St Ste 401, Portland, OR 97210-5102 | 2009-08-04 |
| 1306130398 | Youssra Marjoua | Orthopaedic Surgery | 33 Sewall St, Portland, ME 04102-2603 | 2011-06-07 |
| 1801125521 | Lucie Krenek | Orthopaedic Surgery | 3500 N Interstate Ave, Portland, OR 97227-1196 | 2009-12-08 |
| 1326168261 | Gary Kegel | Orthopaedic Surgery | 3181 Sw Sam Jackson Park Rd, Oregon Health and Sciences, Dept. of Orthopaedics, Portland, OR 97239-3011 | 2007-03-31 |
| 1063575355 | Kathryn Heidi Hanna | Orthopaedic Surgery | 33 Sewall St, Portland, ME 04102 | 2006-12-18 |
| 1619080595 | Wendy M Hughes | Orthopaedic Surgery | 3710 Sw Us Veterans Hospital Rd, Portland Va Medical Center -- P3pl, Portland, OR 97239-2964 | 2006-08-16 |
| 1285656025 | Mark James Buehler | Orthopaedic Surgery | 5050 Ne Hoyt, Ste 660, Portland, OR 97213-2990 | 2006-07-24 |
| 1144292152 | Jerry E Nye | Orthopaedic Surgery | 2222 Nw Lovejoy, Ste 401, Portland, OR 97210 | 2006-02-03 |
| 1790785624 | John T Chance | Orthopaedic Surgery | 33 Sewall St, Portland, ME 04102-2603 | 2005-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912591 | James R. Verheyden | Orthopaedic Surgery | 2200 Ne Neff Rd., Ste. 200, Bend, OR 97701 | 2005-06-20 |
| 1831192749 | David M Appleby | Orthopaedic Surgery | 702 Sw Ramsey #112, Grants Pass, OR 97527-5859 | 2005-05-24 |
| 1740842467 | Craig T Gillis Do PC | Orthopaedic Surgery | 4103 Mercantile Dr, Lake Oswego, OR 97035-2556 | 2019-07-02 |
| 1356784847 | Christopher William Healy | Orthopaedic Surgery | 2200 Ne Neff Rd Ste 200, Bend, OR 97701 | 2013-04-15 |
| 1053669606 | Upper Hand Orthopaedics, P.C. | Orthopaedic Surgery | 2797 Nw 9th St, Corvallis, OR 97330-3857 | 2012-08-29 |
| 1104184415 | Aaron Isamu Karlen | Orthopaedic Surgery | 1600 State St, Salem, OR 97301 | 2012-04-25 |
| 1336406354 | Willamette Orthopedic Group LLC | Orthopaedic Surgery | 607 Se Jefferson St, Dallas, OR 97338 | 2012-04-16 |
| 1588955314 | Willamette Orthopedic Group LLC | Orthopaedic Surgery | 1600 State St, Salem, OR 97301-4257 | 2011-04-27 |
| 1639306723 | Jenna Godfrey | Orthopaedic Surgery | 55 Coburg Rd, Eugene, OR 97401-2433 | 2009-06-16 |
| 1053551697 | Mid-columbia Medical Center | Orthopaedic Surgery | 551 Lone Pine Blvd, The Dalles, OR 97058 | 2009-02-23 |
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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.