WILLIAM WOOD MD SURGICAL ONCOLOGY LLC (NPI# 1295163624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295163624 |
| Entity Type | Organization |
| Organization Name | WILLIAM WOOD MD SURGICAL ONCOLOGY LLC |
| Practice Address |
185 Ne 102nd Ave Portland OR 97220-4169 |
| Mailing Address |
Po Box 27340 Phoenix AZ 85061-7340 |
| Practice Telephone | 5032538490 |
| Practice Fax Number | 5032538497 |
| Mailing Telephone | 6029439200 |
| Mailing Fax Number | 6022163000 |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2014-12-23 |
| Authorized Official Name | DR. WILLIAM JOSEPH WOOD JR. (PRESIDENT/PROVIDER) |
| Authorized Official Telephone | 5032538490 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
MD15183 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
185 NE 102ND AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97220-4169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881752293 | William Joseph Wood Jr. | Surgery | 185 Ne 102nd Ave, Portland, OR 97220-4169 | 2006-12-05 |
| 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 | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205062692 | Cory Amanda Donovan | Surgery | 1040 Nw 22nd Ave Ste 560, Portland, OR 97210-3097 | 2009-05-31 |
| 1720208556 | Kristen P Massimino | Surgery | 3181 Sw Sam Jackson Park Road #l579, Portland, OR 97239-3098 | 2007-04-26 |
| 1548550874 | Jennifer Leigh Pasko | Surgery | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2011-04-07 |
| 1013211739 | James H Imatani, Jr. M.d., PC | Surgery | 5050 Ne Hoyt St, Suite 610, Portland, OR 97213-2944 | 2011-01-10 |
| 1760617914 | James Y Lim | Surgery | 3303 Sw Bond Ave, Suite 7, Portland, OR 97239-4501 | 2009-05-18 |
| 1144378340 | Nw Surgical Oncology PC | Surgery | 1040 Nw 22nd Ave, Suite 540, Portland, OR 97210-3057 | 2007-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063896603 | Avante, LLC | Surgery | 1410 Oak St, Ste 101, Eugene, OR 97401-4604 | 2015-07-14 |
| 1609092527 | Cascade Surgical Oncology, PC | Surgery | 1200 Hilyard St Ste 550, Eugene, OR 97401-8153 | 2007-04-18 |
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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.