ORTHOPEDIC & FRACTURE CLINIC PC (NPI# 1285683656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285683656 |
| Entity Type | Organization |
| Organization Name | ORTHOPEDIC & FRACTURE CLINIC PC |
| Other Organization Name | ORTHOPEDIC AND FRACTURE SPECIALISTS |
| Practice Address |
11782 Sw Barnes Rd Suite 300 Portland OR 97225-5914 |
| Mailing Address |
11782 Sw Barnes Rd Suite 300, Bldg C Portland OR 97225-5914 |
| Practice Telephone | 5032145200 |
| Practice Fax Number | 5039066613 |
| Mailing Telephone | 5032145200 |
| Mailing Fax Number | 5039066613 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2020-04-14 |
| Authorized Official Name | DEBBIE WEBSTER (CREDENTIALING SPECIALST) |
| Authorized Official Telephone | 5039064302 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 273850 | 05 |
| Other Name | Type Code |
|---|---|
| Orthopedic & Fracture Clinic | Other Name - Individual/Organization |
| Orthopedic and Fracture Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871050153 | Orthopedic & Fracture Clinic PC | Orthopaedic Surgery | 11782 Sw Barnes Rd Ste 300, Portland, OR 97225-5933 | 2019-02-22 |
| Street Address |
11782 SW BARNES RD SUITE 300 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-5914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801889399 | Brett M Andres | Orthopaedic Surgery | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225-5914 | 2005-08-30 |
| 1982179560 | Andrew Stanton | Physician Assistant | 11782 Sw Barnes Rd, Portland, OR 97225-5914 | 2018-10-10 |
| 1790226322 | Melissa Ann Senn-reis | Specialist/Technologist | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225-5914 | 2017-03-15 |
| 1902344187 | Corvin W Tompkins | Specialist/Technologist, Other | 11782 Sw Barnes Rd, Suite 200, Portland, OR 97225-5914 | 2017-02-07 |
| 1073059754 | Daniel Lewis Fisher | Specialist/Technologist, Other | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225-5914 | 2017-01-18 |
| 1891189056 | Martha Miller | Specialist/Technologist | 11782 Sw Barnes Rd, Portland, OR 97225-5914 | 2015-03-26 |
| 1598170425 | Ashley Wood | Physician Assistant | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225-5914 | 2014-06-30 |
| 1184962128 | Michele Shivack | Physical Therapist | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225-5914 | 2013-01-25 |
| 1366799405 | Jessica Lynn Martschinske | Specialist/Technologist | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225-5914 | 2012-08-08 |
| 1235485053 | Nick Adam George | Physical Therapist | 11782 Sw Barnes Rd, Ste 100, Portland, OR 97225-5914 | 2012-07-30 |
| 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 | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346366523 | Natalie Squires Mesnier | Orthopaedic Surgery | 5050 Ne Hoyt St Ste 626, Portland, OR 97213-2956 | 2007-03-21 |
| 1427057611 | Dirk G. Asherman | Orthopaedic Surgery | 33 Sewall St, Portland, ME 04102-2603 | 2005-07-19 |
| 1942611025 | Bopha Chrea | Orthopaedic Surgery | 3181 Sw Sam Jackson Park Rd # Op31, Portland, OR 97239-3011 | 2014-05-12 |
| 1366718116 | Lara Chamberlain Atwater | Orthopaedic Surgery | 3181 Sw Sam Jackson Park Rd # Op31, Portland, OR 97239-3011 | 2012-03-27 |
| 1740559236 | Ali Abbasian Hersini | Orthopaedic Surgery | 195 Fore River Pkwy, Suite 210, Portland, ME 04102-2780 | 2011-12-29 |
| 1437440278 | Jessica Ann Faught | Orthopaedic Surgery | 195 Fore River Pkwy, Suire 210, Portland, ME 04102-2780 | 2011-04-27 |
| 1558533273 | Adam Parks Baker | Orthopaedic Surgery | 10000 Se Main St Ste 224, Portland, OR 97216-2469 | 2008-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093014771 | Akash Gupta | Orthopaedic Surgery | 6542 Se Lake Rd Ste 201, Milwaukie, OR 97222-2245 | 2011-03-21 |
| 1770581415 | Jeffrey Arthur Holmboe | Orthopaedic Surgery | 1303 Ne Cushing Dr, Ste 100, Bend, OR 97701-3887 | 2005-07-07 |
| 1477105278 | Akash Gupta Md PC | Orthopaedic Surgery | 6542 Se Lake Rd Ste 201, Milwaukie, OR 97222-2245 | 2019-07-11 |
| 1225567928 | Eastside Orthopedics & Sports Medicine, LLC | Orthopaedic Surgery | 6542 Se Lake Rd Ste 201, Milwaukie, OR 97222-2245 | 2017-06-06 |
| 1508855818 | John-paul Veri | Orthopaedic Surgery | 2780 E Barnett Rd, Suite 200, Medford, OR 97504-8343 | 2005-10-19 |
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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.