SHAWN MICHAEL DEREMER (NPI# 1518994565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518994565 |
| Entity Type | Individual |
| Full Name | SHAWN MICHAEL DEREMER |
| Credential | M.D. |
| Practice Address |
10150 Se 32nd Ave Milwaukie OR 97222-6516 |
| Mailing Address |
P.o. Box 2817 Portland OR 97208 |
| Practice Telephone | 5035138300 |
| Mailing Telephone | 9545450337 |
| Mailing Fax Number | 9545453497 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | MD22534 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | RAILROAD MEDICARE | P00256935 | 01 |
| OR | 288087 | 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 |
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| 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 |
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| 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 |
|---|---|---|---|---|
| 1699749804 | Jonathan M. Blatt | Anesthesiology | 6542 Se Lake Rd., Suite 202, Milwaukie, OR 97222 | 2006-02-14 |
| 1578014239 | Providence Health & Services Oregon | Anesthesiology | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2016-10-18 |
| 1366536963 | Providence Health & Services - Oregon | Anesthesiology | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2006-10-03 |
| 1548281751 | Anesthesia Associates North West LLC | Anesthesiology | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871003558 | Lane Anesthesia Associates | Anesthesiology | 920 Country Club Rd Ste 200b, Eugene, OR 97401-6024 | 2017-10-06 |
| 1821451493 | Curtis Bradford | Anesthesiology | 3181 Sw Sam Jackson Park Rd # Sjh-2, Portland, OR 97239-3098 | 2016-03-31 |
| 1174920722 | Susan C Noble, Md, LLC | Anesthesiology | 437 Wa Na Pa St., Cascade Locks, OR 97014 | 2014-11-25 |
| 1457766040 | Edward Kent IIi | Anesthesiology | 3303 Sw Bond Ave Fl 15, Portland, OR 97239-4501 | 2014-06-23 |
| 1003245143 | Jerry Bass | Anesthesiology | 5745 Nw Homestead Way, Redmond, OR 97756-7929 | 2013-11-08 |
| 1033551189 | Betty Blomquist Thompson | Anesthesiology | 18490 Ray Ridge Dr, Lake Oswego, OR 97034-7527 | 2013-07-17 |
| 1588009492 | Donald Walter Claeys | Anesthesiology | 34454 Mckenzie View Dr, Springfield, OR 97478-9738 | 2013-05-06 |
| 1952653149 | David Leroy Wilson | Anesthesiology | 2890 Ne Jackson School Rd, Hillsboro, OR 97124-1615 | 2012-10-11 |
| 1235486572 | Dolores Anne Leon | Anesthesiology | 2221 S.w. First Avenue, #2322, Portland, OR 97201-5023 | 2012-08-06 |
| 1659639920 | Sedation Services Inc. | Anesthesiology | 1508 Division St Ste 15, Oregon City, OR 97045-1583 | 2012-04-24 |
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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.