DEREK S. LIPMAN MD LTD (NPI# 1497928303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497928303 |
| Entity Type | Organization |
| Organization Name | DEREK S. LIPMAN MD LTD |
| Practice Address |
17704 Jean Way Ste 105 Lake Oswego OR 97035-5497 |
| Practice Telephone | 5036756776 |
| Practice Fax Number | 5036752572 |
| Mailing Telephone | 5036756776 |
| Mailing Fax Number | 5036752572 |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2012-05-02 |
| Authorized Official Name | DEREK S LIPMAN (PRESIDENT) |
| Authorized Official Telephone | 5036756776 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | MD10662 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 154963 | 05 |
| Street Address |
17704 JEAN WAY STE 105 |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 97035-5497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336145614 | Robert H Furman | Otolaryngology | 17704 Jean Way, Ste 101, Lake Oswego, OR 97035-5497 | 2005-06-22 |
| 1235539594 | Jacqueline Sammons | Nurse Practitioner | 17704 Jean Way, Lake Oswego, OR 97035-5497 | 2014-08-23 |
| 1558653436 | Sally Lynn Nelson | Dental Hygienist | 17704 Jean Way, Suite 105, Lake Oswego, OR 97035-5497 | 2011-05-10 |
| 1588821409 | Kimberly J Lavoie | Audiologist | 17704 Jean Way, Suite 101, Lake Oswego, OR 97035 | 2008-05-19 |
| 1265617690 | Westlake Internal Medicine, LLC | Internal Medicine | 17704 Jean Way, Suite 105, Lake Oswego, OR 97035-5497 | 2008-01-03 |
| 1023293453 | Kristina E Harp M.d P.c | Internal Medicine | 17704 Jean Way, Suite 105, Lake Oswego, OR 97035-5497 | 2008-01-03 |
| 1710167689 | Lake Oswego Dermatology Group, PC | Dermatology | 17704 Jean Way, Suite 102, Lake Oswego, OR 97035-5497 | 2007-11-08 |
| 1902096936 | Katherine L J Molyneux | Physician Assistant | 17704 Jean Way, Suite 105, Lake Oswego, OR 97035-5497 | 2007-07-26 |
| 1871613463 | Dan Everett Thompson | Dentist | 17704 Jean Way, Suite 105, Lake Oswego, OR 97035-5497 | 2007-03-29 |
| 1275669806 | Scot Shoichi Itomura | Physician Assistant | 17704 Jean Way, Ste 101, Lake Oswego, OR 97035-5497 | 2007-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700127 | Teresa Siebenaler Scott | Social Worker | 3990 Sw Collins Way, Suite 202, Lake Owsego, OR 97035 | 2020-11-04 |
| 1528671567 | Martin Henry Lees | Internal Medicine | 14 Morningview Lane, Lake Oswego, OR 97035 | 2020-08-28 |
| 1356976187 | Premere Rehab LLC | Occupational Therapist | Infinity Rehab - The Springs At Lake Oswego, 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2020-03-12 |
| 1689212193 | Jennifer Chauvin | Nurse Practitioner | 20 Juarez Street, Lake Oswego, OR 97035 | 2019-12-16 |
| 1003396888 | Sarah Guenzburger | Physical Therapist | 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2018-08-21 |
| 1568964252 | Brett Johnson | Marriage & Family Therapist | 5655 Southwood Dr, Lake Oswego, OR 97035 | 2018-03-08 |
| 1912416561 | Michael Paul Long | Social Worker | 14523 Westlake Drive, Lake Oswego, Or 97035, Lake Oswego, OR 97035 | 2017-09-27 |
| 1467807859 | Misty Lohn | Nurse Practitioner | 5 Centerpointe Dr., Ste 600, Lake Oswego, OR 97035 | 2016-05-04 |
| 1326405473 | Kelsey Prince | Behavioral Analyst | 6400 Sw Rosewood St., Portland (lake Oswego), OR 97035 | 2016-01-20 |
| 1942683388 | Elizabeth Risberg Harrison | Massage Therapist | 190 Oswego Summit, Lake Oswego, OR 97035 | 2015-07-02 |
| Find all providers in zip 97035 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336145614 | Robert H Furman | Otolaryngology | 17704 Jean Way, Ste 101, Lake Oswego, OR 97035-5497 | 2005-06-22 |
| 1508963125 | Erika Elizabeth Schettler Huberty | Otolaryngology | 17704 Jean Way, Suite 101, Lake Oswego, OR 97035 | 2006-09-17 |
| 1538145834 | Derek Spencer Lipman | Otolaryngology | 17704 Jean Way, Ste 105, Lake Oswego, OR 97035-5497 | 2005-12-19 |
| 1043211824 | Lake Grove Ent PC | Otolaryngology | 17704 Jean Way, Ste 101, Lake Oswego, OR 97035-5497 | 2005-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1104289933 | Ci An Gerald Tay | Otolaryngology | 3181 Sw Sam Jackson Park Rd, Pv01, Portland, OR 97239 | 2016-03-30 |
| 1922471291 | Caitlin Bertelsen | Otolaryngology | 3303 Sw Bond Ave Ste 15, Portland, OR 97239-4501 | 2015-11-08 |
| 1326467812 | Tyler Scott Weaver | Otolaryngology | 1508 Division St Ste 115, Oregon City, OR 97045-1584 | 2014-04-10 |
| 1013286822 | Lawrence Thomas Eschelman | Otolaryngology | 3585 Cherokee Dr S, Salem, OR 97302-9712 | 2011-12-22 |
| 1962708578 | John A Lindgren, Md PC | Otolaryngology | 9155 Sw Barnes Rd Ste 401, Portland, OR 97225-6631 | 2011-01-28 |
| 1558674861 | Lucas Rein Rudmik | Otolaryngology | 3720 Sw Bond Ave Unit 2210, Portland, OR 97239-4577 | 2010-07-16 |
| 1134447741 | Aleen J Lee | Otolaryngology | 9280 Se Sunnybrook Blvd Ste 300, Clackamas, OR 97015 | 2010-05-06 |
| 1811164262 | Carrie Maiorana Brown | Otolaryngology | 24076 Se Stark St Ste 230, Gresham, OR 97030 | 2008-05-14 |
| 1114193448 | Ryan Jeffrey Li | Otolaryngology | 3181 Sw Sam Jackson Park Rd # 01, Portland, OR 97239-3011 | 2008-05-06 |
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| City | LAKE OSWEGO |
| Zip Code | 97035 |
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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.