DR. DAVID DEAN MAGILKE (NPI# 1508921354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508921354 |
| Entity Type | Individual |
| Full Name | DR. DAVID DEAN MAGILKE |
| Credential | M.D. |
| Practice Address |
9427 Sw Barnes Rd Ste 394 Portland OR 97225-6616 |
| Mailing Address |
9427 Sw Barnes Road Suite 394 Portland OR 97225-3371 |
| Practice Telephone | 5032976511 |
| Practice Fax Number | 5032975231 |
| Mailing Telephone | 5032976511 |
| Mailing Fax Number | 5032975231 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2008-05-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
MD19765 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 079350 | 05 |
| Street Address |
9427 SW BARNES RD STE 394 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-6616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689720468 | Michael M Kim | Otolaryngology | 2525 Nw Lovejoy St Ste 402, Portland, OR 97210-2865 | 2007-01-26 |
| 1891801551 | Jeffrey Morris Israel | Otolaryngology | 720 Sw Hume St, Portland, OR 97219-4475 | 2006-08-22 |
| 1497763932 | Tom D. Wang | Otolaryngology | 3303 Sw Bond Ave, Mail Code: Ch 5e, Portland, OR 97239-4501 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407470214 | W. Wallace Webster Md LLC | Otolaryngology | 620 Commercial Ave Ste A, Coos Bay, OR 97420-1846 | 2020-06-08 |
| 1821274317 | Southern Oregon Ear Nose & Throat, PC | Otolaryngology | 555 Black Oak Dr Ste 210, Medford, OR 97504-8491 | 2008-01-14 |
| 1760542724 | Charles Gerard Hurbis | Otolaryngology | 2695 N 17th St, Coos Bay, OR 97420-2134 | 2006-12-11 |
| 1083920177 | David Michael Souza | Otolaryngology | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2010-08-26 |
| 1427296623 | Rogue Valley Ear, Nose, Throat & Facial Plastics PC | Otolaryngology | 1601 Ne 6th St, Grants Pass, OR 97526-1035 | 2009-01-26 |
| 1124202346 | Michael E Villano Md LLC | Otolaryngology | 431 Ne Revere Ave, 110, Bend, OR 97701-4189 | 2007-12-24 |
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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.