DR. SPEROS DEMETRE HOMER III (NPI# 1376631408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376631408 |
| Entity Type | Individual |
| Full Name | DR. SPEROS DEMETRE HOMER III |
| Credential | M.D. |
| Practice Address |
10150 Se 32nd Ave Milwaukie OR 97222-6516 |
| Mailing Address |
9340 Sw Barnes Rd Suite 202 Portland OR 97225-6623 |
| Practice Telephone | 5032976334 |
| Practice Fax Number | 5032972360 |
| Mailing Telephone | 5032976334 |
| Mailing Fax Number | 5032972360 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD19692 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | UNITED HEALTHCARE | 930066589 | 01 |
| OR | 164982 | 05 |
| Street Address |
10150 SE 32ND AVE |
| City | MILWAUKIE |
| State | OR |
| Zip Code | 97222-6516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700485737 | Stephani Sue Jirikovic | Pharmacist | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2020-10-21 |
| 1801423876 | Judy Marie Schumacker | Social Worker | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2020-03-26 |
| 1457908840 | Dana Thuy Nguyen | Pharmacist | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2019-08-21 |
| 1689152860 | Kevin Morikawa | Physical Therapist | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2018-07-31 |
| 1578014239 | Providence Health & Services Oregon | Anesthesiology | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2016-10-18 |
| 1356793152 | Brian Schapansky | Nurse Anesthetist, Certified Registered | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2016-07-06 |
| 1659751360 | Providence Health & Services Oregon | Psychiatric Unit | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2015-06-08 |
| 1851783138 | Holly Turner | Dietitian, Registered | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2015-02-24 |
| 1427458231 | Sue F Lee | Nurse Anesthetist, Certified Registered | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2014-08-28 |
| 1831501394 | Julia Watts Schafer | Nurse Anesthetist, Certified Registered | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2014-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731397 | Madalyn Kelly Yowell | Technician | 7809 Southeast Southgate Street, Milwaukee, OR 97222 | 2019-10-16 |
| 1336617448 | Nadia Yang | Social Worker | 2115 Se Adams St, Milwaukie, OR 97222 | 2018-11-06 |
| 1851892368 | Arrow Dental LLC | Dentist | 10505 Se 17th Avenue, Milwaukie, OR 97222 | 2018-02-21 |
| 1851814016 | Cathy Maria Andrew | Acupuncturist | 11022 Se Stanley Ave, Milwaukie, OR 97222 | 2017-07-19 |
| 1972025369 | Sarah Elizabeth Giles | Peer Specialist | 11097 Se 21st Ave., Milwaukie, OR 97222 | 2017-07-07 |
| 1366976292 | Brittany Reubendale | Physical Therapist | 12705 See River Rd, Portland, OR 97222 | 2017-04-18 |
| 1669916383 | Margie Hertz | Registered Nurse | 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 | 2016-12-14 |
| 1952858094 | Alexis Escobar | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2016-09-07 |
| 1205295466 | Beth Ann Mills | Acupuncturist | 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 | 2016-02-16 |
| 1558744086 | Kyle Eugene Coan | Specialist | 3306 Se Wister St, Milwaukie, OR 97222 | 2015-07-01 |
| Find all providers in zip 97222 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669529426 | Timothy William Schwarz | Emergency Medicine | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2007-01-04 |
| 1154485514 | Mark N. Roberts | Emergency Medicine | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2006-12-20 |
| 1962572008 | Jack Philip Rosoff | Emergency Medicine | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2006-11-08 |
| 1689755175 | Fred Lee Underwood | Emergency Medicine | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2006-10-18 |
| 1447331921 | David Glen Knox | Emergency Medicine | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2006-10-18 |
| 1235227281 | Paul Vincent Skiles | Emergency Medicine | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2006-10-11 |
| 1093803132 | James Edward Maras | Emergency Medicine | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2006-10-11 |
| 1881795078 | Samuel H Kim | Emergency Medicine | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2006-09-26 |
| 1346272457 | Jason Dean Sundseth | Emergency Medicine | 10330 Se 32nd Ave, Milwaukie, OR 97222-6587 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043741010 | Hannah D Wolsiefer-leak | Emergency Medicine | 2826 East Barnett Rd, Medford, OR 97504-8332 | 2017-03-22 |
| 1366896581 | Collin Andrew Wulff | Emergency Medicine | 162 Ne Cloverdale Dr, Albany, OR 97321-1623 | 2016-04-14 |
| 1912361718 | Bryce Edwards | Emergency Medicine | 3181 Sw Sam Jackson Park Road, Ohsu, Portland, OR 97239 | 2016-04-07 |
| 1285013375 | Joseph Severo Simon | Emergency Medicine | 1200 Hilyard St Ste 310, Eugene, OR 97401-8122 | 2015-05-22 |
| 1073907978 | Karen Ta | Emergency Medicine | 10300 Se Main St, Portland, OR 97216 | 2015-03-27 |
| 1104210921 | Elizabeth Hatfield | Emergency Medicine | 3181 Sw Sam Jackson Park Rd # Cdw, Portland, OR 97239-3011 | 2015-03-19 |
| 1699171918 | Stephen Boyer | Emergency Medicine | 3708 Sw Lyle Ct, Portland, OR 97221-3963 | 2014-11-13 |
| 1679991590 | Meaghan Dehning | Emergency Medicine | 3181 Sw Sam Jackson Park Rd # Em, Portland, OR 97239-3011 | 2014-03-29 |
| 1760725485 | Deirdre Harmony Witte | Emergency Medicine | Salem Emergency Physicians, C/o Salem Hospital Ed, 890 Oak St, Se, Building A, Salem, OR 97301 | 2013-04-01 |
| 1164765293 | Joshua Starbuck Virgen Goldner | Emergency Medicine | 10180 Se Sunnyside Rd Dept Of, Clackamas, OR 97015-8970 | 2013-03-27 |
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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.