KESAVAN PRAKASH (NPI# 1538275276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538275276 |
| Entity Type | Individual |
| Full Name | KESAVAN PRAKASH |
| Credential | MD |
| Practice Address |
6355 Ne Cornell Rd Suite 100 Hillsboro OR 97124-5434 |
| Practice Telephone | 5035973130 |
| Mailing Telephone | 5035973130 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2016-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD25931 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | P00254395 | 01 | |
| OR | 213695 | 05 |
| Street Address |
6355 NE CORNELL RD SUITE 100 |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97124-5434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578508214 | Natasa Petrac | Family Medicine | 6355 Ne Cornell Rd, Suite 100, Hillsboro, OR 97124-5434 | 2006-06-17 |
| 1932491032 | Jessica Lynn Hart | Nurse Practitioner | 6355 Ne Cornell Rd, Suite 100, Hillsboro, OR 97124-5434 | 2011-05-06 |
| 1356647168 | Tuality Healthcare | Clinic/Center | 6355 Ne Cornell Rd, Suite 100, Hillsboro, OR 97124-5434 | 2011-01-27 |
| 1124339544 | Heather Rebecca Holmes | Family Medicine | 6355 Ne Cornell Rd, Suite 100, Hillsboro, OR 97124-5434 | 2010-06-30 |
| 1457589236 | Elizabeth Ann Tindall | Internal Medicine | 6355 Ne Cornell Rd, Suite 100, Hillsboro, OR 97124-5434 | 2009-06-30 |
| 1518142504 | Radhika Suryadevara | Internal Medicine | 6355 Ne Cornell Rd, Suite 100, Hillsboro, OR 97124-5434 | 2008-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705322 | Pamela Anne Martin | Registered Nurse | 2875 Nw Stucki Pl, Hillsboro, OR 97124 | 2019-11-27 |
| 1912548892 | Donnia Mae Schwarz | Behavior Technician | 5121 Ne Elam Young Pkwy, Hillsboro, OR 97124 | 2019-10-02 |
| 1609305036 | Catherine Lydon | Registered Nurse | 18650 Nw Cornell Road Suite 220, Hillsboro, OR 97124 | 2017-06-08 |
| 1376092163 | Michael Han | Pharmacist | 2875 Nw Stucki Avenue/, Hillsboro, OR 97124 | 2016-09-22 |
| 1760868459 | Voices Set Free | Community/Behavioral Health | 254 North 1st Ave., Hillsboro, OR 97124 | 2015-08-04 |
| 1871980151 | Kevin Kar Fai Cheng | Dentist | 7206 Ne Cornell Rd, Hillsboro, OR 97124 | 2015-04-23 |
| 1336530047 | Maegan Lee Mcglone | Behavioral Analyst | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124 | 2015-02-17 |
| 1588095772 | Hillsboro Modern Dentistry, PC | Dentist | 2790 Nw 188th Avenue, Suite A, Hillsboro, OR 97124 | 2013-12-12 |
| 1275977043 | Dana Hazell | Massage Therapist | 5035 Ne Elam Young Parkway, Suite 500, Hillsboro, OR 97124 | 2013-04-24 |
| 1679816771 | Candice May Doyle | Massage Therapist | 5215 Ne Elam Young Park Way, Suite A, Hillsboro, OR 97124 | 2013-03-27 |
| Find all providers in zip 97124 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467885475 | Dwayne O.m. Walker | Internal Medicine | 1402 North High Street, Highland Family Healthcare, Hillsboro, OH 45133-2725 | 2013-08-13 |
| 1750671384 | Peter Joseph Kane | Internal Medicine | 12239 Nw Jackson Quarry Rd, Hillsboro, OR 97124-8003 | 2011-04-16 |
| 1225359813 | Martha A. Reed M.d., Inc. | Internal Medicine | 11318 Highway 21, Hillsboro, MO 63050-5207 | 2010-06-17 |
| 1245403468 | Richard Michael Douglass | Internal Medicine | 162 Cooledge Rd., Hillsboro, NH 03244 | 2008-04-09 |
| 1467526947 | Chin Kyong Song | Internal Medicine | 6355 Ne Cornell Road, Suite 100, Hillsboro, OR 97124 | 2006-11-17 |
| 1023189750 | Kishoree Jayant Patel | Internal Medicine | 19400 Evergreeen Pwy, Hillsboro, OR 97124-7031 | 2006-11-13 |
| 1437242963 | Sheree Diane Stephens | Internal Medicine | 1925 Nw Amberglen Pkwy Ste 300, Hillsboro, OR 97006-6965 | 2006-10-02 |
| 1093807497 | Sudhirkumar P Shah | Internal Medicine | 10640 Business 21, Hillsboro, MO 63050-5039 | 2006-09-30 |
| 1952413395 | Chad T. Pfefer, Md, PC | Internal Medicine | 545 Se Oak St Ste A, Hillsboro, OR 97123-4147 | 2006-08-31 |
| 1891801783 | Edward F Clarke | Internal Medicine | 324 Se Ninth, Suite D, Hillsboro, OR 97123 | 2006-08-22 |
| Find all providers in HILLSBORO | ||||
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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.