PEARL SURGICENTER, INC. (NPI# 1407997125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407997125 |
| Entity Type | Organization |
| Organization Name | PEARL SURGICENTER, INC. |
| Practice Address |
120 Nw 14th Ave Suite 200 Portland OR 97209-2643 |
| Practice Telephone | 5037711883 |
| Mailing Telephone | 5037711883 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2011-04-05 |
| Authorized Official Name | RICHARD BRIAN ROSENFIELD (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5037711883 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
676749.00 | OR | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PEARL SURGICENTER, INC. | 120 Nw 14th Ave Ste 200, Portland, OR 97209 |
| Street Address |
120 NW 14TH AVE SUITE 200 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-2643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932179439 | Jessie Fan | Anesthesiology | 120 Nw 14th Ave, Suite 300, Portland, OR 97209-2643 | 2006-01-25 |
| 1942462411 | William Patrick Kinane | Anesthesiology | 120 Nw 14th Ave, Ste 300, Portland, OR 97209-2643 | 2008-06-26 |
| 1639360902 | Richard B. Rosenfield Md PC | Clinic/Center | 120 Nw 14th Ave, Suite 200, Portland, OR 97209-2643 | 2007-08-05 |
| 1487844320 | Christopher M Colville | Anesthesiology | 120 Nw 14th Ave, Ste 300, Portland, OR 97209-2643 | 2007-07-26 |
| 1447440433 | Ilan Jose Rothman | Anesthesiology | 120 Nw 14th Ave, Ste 300, Portland, OR 97209-2643 | 2007-07-26 |
| 1679787295 | Vatche Krikor Bezdikian | Anesthesiology | 120 Nw 14th Ave, Ste 300, Portland, OR 97209-2643 | 2007-05-10 |
| 1912048372 | Richard B Rosenfield | Obstetrics & Gynecology | 120 Nw 14th Ave, Suite 200, Portland, OR 97209-2643 | 2007-02-09 |
| 1831270545 | Richard Hector Bensimon | Surgery | 120 Nw 14th Ave, Suite 200, Portland, OR 97209 | 2006-10-18 |
| 1568568087 | Petra Kriz | Anesthesiology | 120 Nw 14th Ave, Ste 300, Portland, OR 97209-2643 | 2006-09-15 |
| 1578572285 | Janice M Vaughn | Anesthesiology | 120 Nw 14th Ave, Ste 300, Portland, OR 97209-2643 | 2006-08-05 |
| Find all providers in the same location | ||||
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1164946984 | Northwest Renal Clinic, Inc. | Clinic/Center | 9701 Sw Barnes Rd Ste 110, Portland, OR 97225-6774 | 2017-08-02 |
| 1902287469 | Gateway Dental Surgery Center | Clinic/Center | 10535 Ne Glisan St Ste 101, Portland, OR 97220-4095 | 2015-06-10 |
| 1780959007 | Columbia River Surgery Center LLC | Clinic/Center | 9820 Ne Cascades Pkwy, Portland, OR 97220-6825 | 2012-03-20 |
| 1245471788 | Pacific Cataract and Laser Institute Inc PC | Clinic/Center | 1331 Nw Lovejoy Street, Suite 750, Portland, OR 97209 | 2009-03-12 |
| 1518022615 | Futures Outpatient Surgical Center | Clinic/Center | 1849 Nw Kearney St Ste 302, Portland, OR 97209-1453 | 2006-12-27 |
| 1245336411 | Lovejoy Surgicenter Inc. | Clinic/Center | 933 Nw 25th Ave, Portland, OR 97210-2829 | 2006-09-15 |
| 1710992680 | Ambulatory Surgical Center | Clinic/Center | 10201 Se Main St Ste 20, Portland, OR 97216-2937 | 2006-07-29 |
| 1609896539 | Cedar Hills Ambulatory Surgery Center LLC | Clinic/Center | 10305 Sw Park Way Ste 101, Portland, OR 97225-5033 | 2006-07-21 |
| 1376599381 | Eyecare Medical Group | Clinic/Center | 53 Sewall Street, Portland, ME 04102-2625 | 2006-05-25 |
| Find all providers in PORTLAND | ||||
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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.