EDEM NYONATOR (NPI# 1558322909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558322909 |
| Entity Type | Individual |
| Full Name | EDEM NYONATOR |
| Credential | MD |
| Practice Address |
10123 Se Market St Portland OR 97216-2532 |
| Mailing Address |
Po Box 92900 Portland OR 97292-0900 |
| Practice Telephone | 5032572500 |
| Mailing Telephone | 5032572500 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD26162 | OR | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | MD26162 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | BCBS-ROSEBURG | 838334011 | 01 |
| OR | BCBS-SPRINGFIELD | 858464008 | 01 |
| OR | BCBS-MEDFORD | 858463010 | 01 |
| OR | 026826 | 05 | |
| OR | RR MEDICARE | P00276736 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1460 G St, Springfield, OR 974774112 | 5417448555 | 5417446150 |
| Street Address |
10123 SE MARKET ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97216-2532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801887658 | Portland Adventist Medical Center | General Acute Care Hospital | 10123 Se Market St, Portland, OR 97216 | 2005-11-01 |
| 1619504495 | Sandy Thao Mai Ninh | Pharmacist | 10123 Se Market St, Portland, OR 97216-2532 | 2020-03-24 |
| 1154957298 | Rachel Anne Dalton | Speech-Language Pathologist | 10123 Se Market St, Portland, OR 97216-2532 | 2020-03-20 |
| 1497388797 | Brooke Ottman | Registered Nurse | 10123 Se Market St, Portland, OR 97216-2532 | 2020-02-15 |
| 1316502719 | Portland Adventist Medical Center | Emergency Medicine | 10123 Se Market St, Portland, OR 97216-2532 | 2019-05-01 |
| 1548749096 | Hospitalist Medicine Physicians of Oregon-tcg, PC | Internal Medicine | 10123 Se Market St, Portland, OR 97216-2532 | 2018-08-07 |
| 1144713876 | Patrick Caloz | Physician Assistant | 10123 Se Market St, Portland, OR 97216-2599 | 2018-06-07 |
| 1902304413 | Rachael Veith | Dietitian, Registered | 10123 Se Market St, Portland, OR 97216-2532 | 2018-01-30 |
| 1073027447 | Christine Guppenberger | Physician Assistant | 10123 Se Market St, Portland, OR 97216-2532 | 2017-11-21 |
| 1215459110 | Theresa Lynne Stratton | Registered Nurse | 10123 Se Market St, Portland, OR 97216-2532 | 2017-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1528508520 | Damone Brown | Peer Specialist | 10209 Se Washington St, Suite D, Portland, OR 97216 | 2017-02-24 |
| 1861937237 | Malachai Investments LLC | Clinical Medical Laboratory | 10,000 Se Main St, Ste 360, Portland, OR 97216 | 2016-12-21 |
| 1881136836 | Krista Marie Darnell | Occupational Therapy Assistant | 1475, Se 100th Avenue, Portland, OR 97216 | 2016-11-08 |
| 1821456559 | Sean Kelly | Counselor | 10564 Se Washington Street, Portland, OR 97216 | 2016-02-09 |
| 1174908321 | Phil Bergland | Counselor | 11220 Se Stark St, Suite 6, Portland, OR 97216 | 2015-07-29 |
| 1134507346 | Beth Lopez | Massage Therapist | 5814 Se Stark Street, Portland, OR 97216 | 2015-05-08 |
| 1982081477 | Amelia C Hunt | Counselor | 10564 Se Washinton Street, Portland, OR 97216 | 2015-05-04 |
| 1073907978 | Karen Ta | Emergency Medicine | 10300 Se Main St, Portland, OR 97216 | 2015-03-27 |
| 1265823298 | Laura Catherine Anderson | Occupational Therapist | 1475 Se 100th Avenue, Portland, OR 97216 | 2015-02-12 |
| Find all providers in zip 97216 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700235512 | Samuel Woodworth | Hospitalist | 22 Bramhall St Rm 2227, Portland, ME 04102-3134 | 2016-06-13 |
| 1659547677 | Bassel Beitinjaneh | Hospitalist | 4984 Sw Oleson Rd, 27, Portland, OR 97225-1462 | 2008-04-30 |
| 1972697522 | Mark Helfand | Hospitalist | Portland Vamc P3med, 3710 Sw Us Veterans Hospital Road, Portland, OR 97239 | 2006-10-03 |
| 1558468322 | Peter Damian Sullivan | Hospitalist | 3181 Sw Sam Jackson Park Rd # Bte119, Portland, OR 97239-3011 | 2006-09-20 |
| 1457461279 | Thomas William Barrett | Hospitalist | 3710 Sw Us Va Hospital Rd, Portland Vamc (p3med), Portland, OR 97207-1034 | 2006-08-30 |
| 1033777362 | John Mladucky | Hospitalist | 144 State St, Portland, ME 04101-3776 | 2019-06-01 |
| 1215406491 | Cathern Zweifel | Hospitalist | 22 Bramhall St, Portland, ME 04102-3134 | 2018-11-18 |
| 1891227658 | Matthew Andrew O'donnell | Hospitalist | 3181 Sw Sam Jackson Park Rd # L-579, Portland, OR 97239-3011 | 2017-03-31 |
| 1396277117 | Rebecca Bystrom | Hospitalist | 22 Bramhall St, Portland, ME 04102-3134 | 2017-03-30 |
| 1821520883 | Kelsi Manley | Hospitalist | 3181 Sw Sam Jackson Park Rd, L-579, Portland, OR 97239-3011 | 2017-03-29 |
| Find all providers in PORTLAND | ||||
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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.