PDXENT AND AUDIOLOGY MEDICAL GROUP PC (NPI# 1578923751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578923751 |
| Entity Type | Organization |
| Organization Name | PDXENT AND AUDIOLOGY MEDICAL GROUP PC |
| Practice Address |
2222 Nw Lovejoy St 607 Portland OR 97210-3033 |
| Practice Telephone | 5032223638 |
| Practice Fax Number | 5032235139 |
| Mailing Telephone | 5032223638 |
| Mailing Fax Number | 5032235139 |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2016-04-26 |
| Authorized Official Name | MAXWELL C FURR (PRESIDENT) |
| Authorized Official Telephone | 5032223638 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500647076 | 05 |
| Street Address |
2222 NW LOVEJOY ST 607 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97210-3033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184626970 | Robert Louis Courtox | Physician Assistant | 2222 Nw Lovejoy St, Suite 315, Portland, OR 97210-5101 | 2005-08-11 |
| 1083193338 | Suzanna Davis Barnhart | Nurse Practitioner | 2222 Nw Lovejoy St, Portland, OR 97210-3033 | 2018-08-08 |
| 1447705801 | Pursuit Sports Medicine, LLC | Internal Medicine | 2222 Nw Lovejoy St, Ste 522, Portland, OR 97210-3033 | 2016-08-16 |
| 1669840443 | Melissa Dolbec | Registered Nurse | 2222 Nw Lovejoy St, Portland, OR 97210-3033 | 2015-09-09 |
| 1043649908 | Angela Massoni-blaine | Nurse Practitioner | 2222 Nw Lovejoy St, Portland, OR 97210-3033 | 2013-11-01 |
| 1851726319 | Dustin M Bronsdon | Audiologist | 2222 Nw Lovejoy St, 607, Portland, OR 97210-3033 | 2013-09-03 |
| 1932467008 | Maxwell C. Furr, M.d. LLC | Specialist | 2222 Nw Lovejoy St, Ste 607, Portland, OR 97210-3033 | 2012-04-26 |
| 1619241551 | Brett Anthony Quarles | Physician Assistant | 2222 Nw Lovejoy St, Suite 315, Portland, OR 97210-5101 | 2012-02-23 |
| 1598054132 | Peter Jackson | Internal Medicine | 2222 Nw Lovejoy St, #411, Portland, OR 97210-3033 | 2011-04-05 |
| 1598054116 | Thomas Jay Rosenbaum Md PC | Neurological Surgery | 2222 Nw Lovejoy St, Suite 516, Portland, OR 97210-3033 | 2011-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109086 | Joseph Francolino | Massage Therapist | 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 | 2020-03-17 |
| 1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
| 1649769480 | Dipesh Patel | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 | 2018-05-08 |
| 1760987234 | Meghan Teague | Student in an Organized Health Care Education/Training Program | Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 | 2018-03-27 |
| 1205349172 | Paul M Storm | Acupuncturist | 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 | 2017-11-14 |
| 1740703750 | Audra K Berning | Massage Therapist | 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 | 2017-07-21 |
| 1720539810 | Anna-marie Elizabeth Wood | Audiologist | 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 | 2016-10-24 |
| 1659829836 | H&s Pearl, LLC | Massage Therapist | 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 | 2016-09-15 |
| 1255785796 | Cortez Natural Medicine, Inc. | Acupuncturist | 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 | 2016-04-21 |
| 1932563616 | Vincent Chen | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 | 2016-04-08 |
| Find all providers in zip 97210 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104289933 | Ci An Gerald Tay | Otolaryngology | 3181 Sw Sam Jackson Park Rd, Pv01, Portland, OR 97239 | 2016-03-30 |
| 1922471291 | Caitlin Bertelsen | Otolaryngology | 3303 Sw Bond Ave Ste 15, Portland, OR 97239-4501 | 2015-11-08 |
| 1962708578 | John A Lindgren, Md PC | Otolaryngology | 9155 Sw Barnes Rd Ste 401, Portland, OR 97225-6631 | 2011-01-28 |
| 1558674861 | Lucas Rein Rudmik | Otolaryngology | 3720 Sw Bond Ave Unit 2210, Portland, OR 97239-4577 | 2010-07-16 |
| 1114193448 | Ryan Jeffrey Li | Otolaryngology | 3181 Sw Sam Jackson Park Rd # 01, Portland, OR 97239-3011 | 2008-05-06 |
| 1598968380 | Jeremiah Andrew Alt | Otolaryngology | 3303 Sw Bond Ave # Ch5e, Portland, OR 97239-3098 | 2007-06-07 |
| 1598835688 | Portland Ear Nose & Throat | Otolaryngology | 10535 Ne Glisan, #350, Portland, OR 97220 | 2006-11-08 |
| 1871674374 | Suzanne Cleland Zamudio Md PC | Otolaryngology | 501 N. Graham, #455, Portland, OR 97227 | 2006-10-18 |
| 1689769028 | Ericka Francine King | Otolaryngology | 3181 Sw Sam Jackson Park Rd. Pv-01, Portland, OR 97225 | 2006-10-03 |
| 1295745198 | Charles Leo Kaluza | Otolaryngology | 2816 Se Steele St, Portland, OR 97202-4525 | 2006-08-09 |
| 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.