MR. CARLOS CEBALLOS (NPI# 1396774014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396774014 |
| Entity Type | Individual |
| Full Name | MR. CARLOS CEBALLOS |
| Credential | MD |
| Practice Address |
10300 Ne Hancock St Portland OR 97220 |
| Mailing Address |
Po Box 53 Gladstone OR 97027-0053 |
| Practice Telephone | 5036504359 |
| Mailing Telephone | 5036504359 |
| Mailing Fax Number | 5036506913 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207L00000X | Anesthesiology | MD12612 | OR | Allopathic & Osteopathic Physicians |
| X | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
MD12612 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 225094 | 05 |
| Street Address |
10300 NE HANCOCK ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477524338 | Richard Gicking | Internal Medicine | 10300 Ne Hancock St, Portland, OR 97220-3831 | 2006-01-30 |
| 1952878829 | Mindy Lynn Stoehr | Respiratory Therapist, Registered | 10300 Ne Hancock St, Portland, OR 97220-3831 | 2018-10-30 |
| 1265844336 | Alexander Kurata | Physical Therapy Assistant | 10300 Ne Hancock St, Portland, OR 97220-3831 | 2014-05-23 |
| 1902146392 | Medsurg Pathology Associates PC | Clinical Medical Laboratory | 10300 Ne Hancock St, Portland, OR 97220-3831 | 2013-02-21 |
| 1922358142 | Katie Barton Shuler | Occupational Therapist | 10300 Ne Hancock St, Portland, OR 97220-3831 | 2012-09-14 |
| 1154695088 | Vladimir Nazarenko | Pharmacist | 10300 Ne Hancock St, Portland, OR 97220-3831 | 2012-02-23 |
| 1689943003 | Christine Ames | Occupational Therapist | 10300 Ne Hancock St, Portland, OR 97220-3831 | 2011-12-14 |
| 1881961068 | Nathan Allan Hedin | Pharmacist | 10300 Ne Hancock St, Portland, OR 97220-3831 | 2011-11-16 |
| 1629366448 | David Lynn Rolph | Pharmacist | 10300 Ne Hancock St, Portland, OR 97220-3831 | 2011-07-13 |
| 1467770982 | Narain K Kumar | Internal Medicine | 10300 Ne Hancock St, Portland, OR 97220-3831 | 2010-05-07 |
| Find all providers in the same location | ||||
| 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 | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821451493 | Curtis Bradford | Anesthesiology | 3181 Sw Sam Jackson Park Rd # Sjh-2, Portland, OR 97239-3098 | 2016-03-31 |
| 1457766040 | Edward Kent IIi | Anesthesiology | 3303 Sw Bond Ave Fl 15, Portland, OR 97239-4501 | 2014-06-23 |
| 1235486572 | Dolores Anne Leon | Anesthesiology | 2221 S.w. First Avenue, #2322, Portland, OR 97201-5023 | 2012-08-06 |
| 1447403605 | Leelee Khanh-hoa Thames | Anesthesiology | 3601 Sw River Pkwy Unit 800, Portland, OR 97239-4555 | 2008-10-30 |
| 1598942815 | Esther Sung | Anesthesiology | 3181 Sw Sam Jackson Park Rd # Uhs-2, Portland, OR 97239-3011 | 2008-01-29 |
| 1689871253 | Mark D Murrow | Anesthesiology | 2801 N Gantenbein Ave., Suite 4239, Legacy Emanuel Hospital & Health Center, Portland, OR 97227 | 2007-06-28 |
| 1477600260 | Mark Enker | Anesthesiology | 3181 Sw Sam Jackson Park Rd # 2, Portland, OR 97239-3011 | 2007-01-04 |
| 1265441638 | Robert D Wilson | Anesthesiology | 10379 Se Crescent Ridge Dr, Portland, OR 97086-9100 | 2006-08-05 |
| 1043227903 | Joshua B Siegel | Anesthesiology | 2307 Nw Stimpson Ln, Portland, OR 97229-8562 | 2006-08-02 |
| 1295749695 | David Gissen | Anesthesiology | 2846 Nw Ariel Ter, Portland, OR 97210-3119 | 2006-07-28 |
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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.