MR. MICHAEL TAKAGI (NPI# 1285844407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285844407 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL TAKAGI |
| Credential | PA-C |
| Practice Address |
422 N Main St Condon OR 97823-7651 |
| Mailing Address |
422 N Main St Po Box 597 Condon OR 97823-7651 |
| Practice Telephone | 5413842061 |
| Mailing Telephone | 5413842061 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2014-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | TL 568 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA-791 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | AMD-295 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-165453 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
422 N MAIN ST |
| City | CONDON |
| State | OR |
| Zip Code | 97823-7651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093364937 | Damon Michael Holland | Counselor | 422 N Main St, Condon, OR 97823-7651 | 2019-09-04 |
| 1922580778 | Brooke Ansotegui | Counselor | 422 N Main St, Condon, OR 97823-7651 | 2018-08-29 |
| 1710475769 | Sarah Danielle Sperry | Physician Assistant | 422 N Main St, Condon, OR 97823-7651 | 2018-04-25 |
| 1518394345 | Community Counseling Solutions | Community/Behavioral Health | 422 N Main St, Condon, OR 97823-7651 | 2013-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366921553 | Amanda Rae Hendricks | Massage Therapist | 601 E. Court St, Condon, OR 97823 | 2018-08-09 |
| 1588964407 | South Gilliam County Health Dist | Clinic/Center | 422 North Main St., Condon, OR 97823 | 2010-10-26 |
| 1467505883 | South Gilliam County Ambulance | Ambulance | 422 N Main, Condon, OR 97823-0085 | 2007-01-19 |
| 1376608901 | Bruce D. Carlson | Clinic/Center | 422 N Main, Condon, OR 97823-0705 | 2006-12-26 |
| 1972636868 | Roderick K. Murray | Pharmacist | 225 S. Main Str, Condon, OR 97823-0725 | 2007-03-13 |
| 1336272244 | Stephanie J. Thomas | Pharmacy Technician | 225 S. Main Str, Condon, OR 97823-0725 | 2007-03-13 |
| 1144353962 | Murray Drugs, Inc. | Pharmacist | 225 S. Main Str, Condon, OR 97823-0725 | 2007-03-13 |
| 1285064709 | North Central Education Service District | Local Education Agency (LEA) | 135 S Main St, Condon, OR 97823-2057 | 2013-11-19 |
| 1801223599 | Anna Charapata | Pharmacist | 225 S Main St, Condon, OR 97823-2058 | 2013-09-26 |
| 1124382171 | Lisa Helms | Counselor | 422 N Main, Condon, OR 97823-7651 | 2012-06-25 |
| Find all providers in zip 97823 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808605 | Pilar Lorena Lopez | Physician Assistant | 7675 Sw Spruce St, Tigard, OR 97223-8723 | 2020-10-15 |
| 1730787615 | Michael Hisao Mun Ho Pang | Physician Assistant | 1245 Sw 160th Ave, Beaverton, OR 97006-5052 | 2020-10-13 |
| 1144834805 | Logan Michael Johnston | Physician Assistant | 3319 Edgeview Ln, Forest Grove, OR 97116-1094 | 2020-09-01 |
| 1285255851 | Darby Samantha Jalbert | Physician Assistant | 2480 Liberty St Ne Ste 110, Salem, OR 97301-8381 | 2020-05-05 |
| 1033751433 | Trisha K Loch | Physician Assistant | 781 W Central, Sutherlin, OR 97479 | 2019-10-17 |
| 1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
| 1740797166 | Joseph Something | Physician Assistant | 4800 Sw 76th Ave, Portland, OR 97225-1804 | 2018-01-08 |
| 1235687013 | Satchel Harry | Physician Assistant | 417 Sw 117th Ave Fl 2, Portland, OR 97225-5924 | 2016-09-21 |
| 1093263386 | Megan Smith | Physician Assistant | 375 Park Ave Ste 5, Coos Bay, OR 97420 | 2016-09-14 |
| 1659828044 | Ryan Jones | Physician Assistant | 1775 Thompson Rd Bay Or97420, Coos Bay, OR 97420-2125 | 2016-09-02 |
| Find all providers with the same taxonomy | ||||
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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.