JACOB MATTHEW WOJDYLA (NPI# 1598362899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598362899 |
Entity Type | Individual |
Full Name | JACOB MATTHEW WOJDYLA |
Credential | CCP |
Practice Address |
500 Ne Multnomah St Ste 100 Portland OR 97232-2031 |
Mailing Address |
1129 Robinhood Dr Elgin IL 60120-9523 |
Practice Telephone | 3312354375 |
Mailing Telephone | 3312354375 |
Enumeration Date | 2020-10-08 |
Last Update Date | 2020-10-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 242T00000X | Perfusionist | Technologists, Technicians & Other Technical Service Providers |
Street Address |
500 NE MULTNOMAH ST STE 100 |
City | PORTLAND |
State | OR |
Zip Code | 97232-2031 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376572537 | Homer Lu-shih Chin | Internal Medicine | 500 Ne Multnomah St Ste 100, Portland, OR 97232-2031 | 2006-07-01 |
1811463557 | Jessica Ruth Ruvalcaba | Dental Hygienist | 500 Ne Multnomah St Ste 100, Portland, OR 97232-2031 | 2018-10-20 |
1932691656 | Gina Polimeni | Counselor | 500 Ne Multnomah St Ste 100, Portland, OR 97232-2031 | 2018-05-30 |
1831648146 | Rebecca Kathleen Buddington | Nurse Practitioner | 500 Ne Multnomah St Ste 100, Portland, OR 97232-2099 | 2016-09-27 |
1982042503 | Jim Edward Hill | Registered Nurse | 500 Ne Multnomah St Ste 100, Portland, OR 97232-2031 | 2013-06-05 |
1992042808 | Britt Wilde Belling | Nurse Anesthetist, Certified Registered | 500 Ne Multnomah St Ste 100, Portland, OR 97232-2031 | 2013-01-11 |
1942575899 | Ginger Lee Henkel | Dental Hygienist | 500 Ne Multnomah St Ste 100, Portland, OR 97232-2031 | 2012-03-11 |
1609194398 | John Cuong Doan | Internal Medicine | 500 Ne Multnomah St Ste 100, Portland, OR 97232-2031 | 2010-05-05 |
1932349800 | Monica Nicole Mcmurry | Nurse's Aide | 500 Ne Multnomah St Ste 100, Portland, OR 97232-2031 | 2009-03-04 |
1356518930 | Trisha Renae Rebman | Technician/Technologist | 500 Ne Multnomah St Ste 100, Portland, OR 97232-2099 | 2008-05-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881293215 | Oregon Change Clinic | Clinic/Center | 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 | 2020-10-17 |
1154969947 | Lori Kristen Miracle | Acupuncturist | Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 | 2019-12-12 |
1194285411 | Onampai Modina Soondarotok | Student in an Organized Health Care Education/Training Program | Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 | 2019-03-22 |
1003399635 | Cathleen Nicole Wenberg | Social Worker | 1839 Ne Couch St, Portland, OR 97232 | 2018-09-10 |
1508350760 | Float North | Acupuncturist | 1617 Ne 17th Ave., Portland, OR 97232 | 2018-06-20 |
1629560719 | Rachael Lee Walters | Doula | 3005 Ne Hoyt St, Portland, OR 97232 | 2018-06-04 |
1225529431 | Jason Sutherland | Social Worker | 707 Ne Couch, Portland, OR 97232 | 2018-05-23 |
1770089245 | Richard Farwell Leman | Family Medicine | 800 Ne Oregon St., Suite 772, Portland, OR 97232 | 2018-04-03 |
1952803413 | Aleksandra Giedowyn Md PC | Family Medicine | 1923 Ne Broadway Street Suite 2, Portland, OR 97232 | 2018-03-01 |
1639680374 | Amanda Matteo | Counselor | 20 Ne 10th Ave, Portland, OR 97232 | 2017-10-20 |
Find all providers in zip 97232 |
Taxonomy Code | 242T00000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Perfusionist |
A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient’s circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used. |
Notes: Source: Health Professions Career and Education Directory, American Medical Association [1/1/2007: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417574807 | Jwana B Ibsies | Perfusionist | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-07-01 |
1164049995 | Brent David Fare | Perfusionist | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-06-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205453453 | Scott Ryan Beckmann | Perfusionist | 2117 Davis Rd S, Salem, OR 97306-9836 | 2020-07-02 |
1396980744 | Gregory Joseph Galeski | Perfusionist | 1255 Ne 17th Ave, Hillsboro, OR 97124-2707 | 2008-12-12 |
1982008983 | Julian Mark Williams | Perfusionist | 665 Winter St Se, Salem, OR 97301-3934 | 2014-10-20 |
1518379270 | Melinda Kingery | Perfusionist | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2014-05-28 |
1770904864 | Nathon Brown | Perfusionist | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2013-12-17 |
1629212329 | Dustin Shane Coles | Perfusionist | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2009-04-24 |
1962645317 | Eileen L. Heller-stading | Perfusionist | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2009-04-15 |
1083859615 | Paul Hartin Dibblee | Perfusionist | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2008-12-11 |
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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.