ELIZABETH BURTON PEDIGO (NPI# 1366650814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366650814 |
| Entity Type | Individual |
| Full Name | ELIZABETH BURTON PEDIGO |
| Credential | MD |
| Practice Address |
1030 Nw 12th Ave 535 Portland OR 97209-2837 |
| Practice Telephone | 5039705211 |
| Mailing Telephone | 5039705211 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2013-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
MD29289 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679578314 | Elizabeth Pedigo | Internal Medicine | 14 N 2nd St, Ripley, OH 45167-1101 | 2005-06-18 |
| Street Address |
1030 NW 12TH AVE 535 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-2837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235180977 | Megan Marie Moseley | Physical Therapist | 1030 Nw 12th Ave, Ste 1, Portland, OR 97209-2838 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
| 1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
| 1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| Find all providers in zip 97209 | ||||
| Taxonomy Code | 207LP3000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pediatric Anesthesiology |
| An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487916730 | Philip W Yun | Anesthesiology | 3181 Sw Sam Jackson Park Rd # Uh2, Portland, OR 97239-3011 | 2012-06-12 |
| 1275976755 | Erin Conner | Anesthesiology | 700 Sw Campus Dr, Portland, OR 97239-3107 | 2013-04-15 |
| 1821314337 | Amy Opilla Soleta | Anesthesiology | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2010-04-09 |
| 1497999767 | Christine Stanley Martin | Anesthesiology | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2009-04-29 |
| 1265690705 | Michelle Wai Diu | Anesthesiology | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 | 2008-05-31 |
| 1033290838 | William Matthew Klein | Anesthesiology | 3101 Sw Sam Jackson Park Road, Portland, OR 97239-3009 | 2006-10-18 |
| 1366523425 | Matthew A. Green | Anesthesiology | 22 Bramhall St, Portland, ME 04102 | 2006-10-17 |
| 1295835270 | David K Kim | Anesthesiology | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013133495 | Harvey A Abrams | Anesthesiology | 57655 Tan Oak Lane, Sunriver, OR 97707 | 2007-04-17 |
| 1427435429 | Nam Ward | Anesthesiology | 3333 Riverbend Dr, Springfield, OR 97477-8800 | 2015-04-29 |
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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.