DR. AMER J MIRZA (NPI# 1548296593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548296593 |
| Entity Type | Individual |
| Full Name | DR. AMER J MIRZA |
| Credential | M.D. |
| Practice Address |
4103 Mercantile Dr Lake Oswego OR 97035-2556 |
| Practice Telephone | 5038509940 |
| Practice Fax Number | 5038506709 |
| Mailing Telephone | 5038509940 |
| Mailing Fax Number | 5038506709 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2017-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD27789 | OR | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | MD00046475 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8458341 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3181 Sw Sam Jackson Park Rd # Op31, Portland, OR 972393011 | 5034946400 |
| Street Address |
4103 MERCANTILE DR |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 97035-2556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841817541 | Adele E Smith | Registered Nurse | 4103 Mercantile Dr, Lake Oswego, OR 97035-2556 | 2020-06-29 |
| 1740842467 | Craig T Gillis Do PC | Orthopaedic Surgery | 4103 Mercantile Dr, Lake Oswego, OR 97035-2556 | 2019-07-02 |
| 1356850267 | Tasha Stark | Physician Assistant | 4103 Mercantile Dr, Lake Oswego, OR 97035 | 2017-09-22 |
| 1891247037 | Gabrielle Engelhard | Physician Assistant | 4103 Mercantile Dr, Lake Oswego, OR 97035 | 2016-11-03 |
| 1982033494 | Amer J Mirza, Md PC | Clinic/Center | 4103 Mercantile Dr, Lake Oswego, OR 97035 | 2013-11-05 |
| 1861755126 | Craig Thomas Gillis | Orthopaedic Surgery | 4103 Mercantile Dr, Lake Oswego, OR 97035 | 2012-06-21 |
| 1538426499 | Todd B Macleod | Physician Assistant | 4103 Mercantile Dr, Lake Oswego, OR 97035-2556 | 2012-04-17 |
| 1730495599 | Monica Marie Daugherty | Physician Assistant | 4103 Mercantile Dr, Lake Oswego, OR 97035-2556 | 2010-08-30 |
| 1497082366 | Orthopaedic Trauma Associates | Specialist | 4103 Mercantile Dr, Lake Oswego, OR 97035 | 2009-11-12 |
| 1427200021 | Summit Orthopaedics, LLP | Physician Assistant | 4103 Mercantile Dr, Lake Oswego, OR 97035 | 2008-10-15 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356483374 | Michael Raymond Marble | Orthopaedic Surgery | 5226 Dawn Ave, Lake Oswego, OR 97035-8112 | 2007-02-13 |
| 1861755126 | Craig Thomas Gillis | Orthopaedic Surgery | 4103 Mercantile Dr, Lake Oswego, OR 97035 | 2012-06-21 |
| 1124290820 | Marilyn Louise Yodlowski | Orthopaedic Surgery | 16001 Quarry Rd, Lake Oswego, OR 97035-3359 | 2008-04-02 |
| 1609048180 | John Wallace Thompson | Orthopaedic Surgery | 16001 Quarry Rd, Lake Oswego, OR 97035-3359 | 2008-03-25 |
| 1609048271 | Wayne Kaesche | Orthopaedic Surgery | 16001 Quarry Rd, Lake Oswego, OR 97035-3359 | 2008-03-24 |
| 1629249354 | Gregory Strum | Orthopaedic Surgery | 16001 Quarry Rd, Lake Oswego, OR 97035-3359 | 2008-03-20 |
| 1952572679 | John Walter Swanson | Orthopaedic Surgery | 16001 Quarry Rd, Lake Oswego, OR 97035-3359 | 2008-03-20 |
| 1093986572 | Stephen Fuller | Orthopaedic Surgery | 16001 Quarry Rd, Lake Oswego, OR 97035-3359 | 2008-03-12 |
| 1437287455 | Britton A Frome Md PC | Orthopaedic Surgery | 4103 Mercantile Dr, Lake Oswego, OR 97035 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871110338 | Praxis Medical Group Inc | Orthopaedic Surgery | 354 W. Adams Avenue, Sisters, OR 97759 | 2020-07-01 |
| 1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
| 1598252272 | Venel Orthopaedic Institute At Lake Andrew | Orthopaedic Surgery | 10000 Se Main St Ste 205, Portland, OR 97216-2448 | 2018-04-18 |
| 1881108918 | Vvrx Pharmacy Billing Solutions LLC | Orthopaedic Surgery | 7427 Sw Coho Ct Ste 200, Tualatin, OR 97062-8618 | 2017-11-28 |
| 1427404672 | Jay Shelton Cox | Orthopaedic Surgery | 80 Raven Lane, Depoe Bay, OR 97341-0185 | 2016-05-06 |
| 1710382296 | Michael Baskin Md LLC | Orthopaedic Surgery | 4166 Sw Greenleaf Dr, Portland, OR 97221-3225 | 2014-10-27 |
| 1568864171 | Thomas P Mcweeney Md PC | Orthopaedic Surgery | 19255 Sw 65th Ave Ste 110, Tualatin, OR 97062-9717 | 2014-09-25 |
| 1083030266 | Ryan Thomas Colley | Orthopaedic Surgery | 707 Murphy Rd, Medford, OR 97504-8520 | 2014-03-11 |
| 1730505488 | David William Waldram | Orthopaedic Surgery | 15200 Sw Aquatic View, Powell Butte, OR 97753 | 2014-03-05 |
| 1346582525 | Derek Beeson Smith | Orthopaedic Surgery | 1140 Sw Simpson Ave Ste 100, Bend, OR 97702 | 2013-03-26 |
| Find all providers with the same taxonomy | ||||
| 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.