KENNETH K.S. MAH (NPI# 1619075868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619075868 |
| Entity Type | Individual |
| Full Name | KENNETH K.S. MAH |
| Credential | D.P.M. |
| Practice Address |
14355 Sw Allen Blvd Suite 120 Beaverton OR 97005-4700 |
| Practice Telephone | 5036431737 |
| Practice Fax Number | 5036434926 |
| Mailing Telephone | 5036431737 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-03-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
DP144 | OR | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992037402 | Kenneth Everett Mah | Pediatrics | 3333 Burnet Avenue, Ml 2003, Cincinnati, OH 45229-3026 | 2010-02-08 |
| 1346399813 | Kenneth L. Mah | Social Worker | 4409 E Inyo St, Fresno, CA 93702-2977 | 2007-01-10 |
| Street Address |
14355 SW ALLEN BLVD SUITE 120 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97005-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932147600 | Internal Medicine Consultants PC | Internal Medicine | 14355 Sw Allen Blvd, 130, Beaverton, OR 97005-4700 | 2006-06-03 |
| 1639113590 | Vandana N Bindal | Internal Medicine | 14355 Sw Allen Blvd, 130, Beaverton, OR 97005-4700 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
| 1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
| 1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
| 1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
| 1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
| 1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
| 1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| Find all providers in zip 97005 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003432204 | Frontier Foot and Ankle Specialists LLC | Podiatrist | 780 2nd St Se # 10, Bandon, OR 97411-8354 | 2020-06-23 |
| 1710436662 | Hermiston Family Foot Clinic LLC | Podiatrist | 1050 W Elm Ave Ste 170, Hermiston, OR 97838-2715 | 2016-10-03 |
| 1255784492 | Sunny Sajjad | Podiatrist | 4905 River Rd N, Keizer, OR 97303-4539 | 2016-07-22 |
| 1285080556 | Sean Westover | Podiatrist | 1227 Ne 7th St Ste A, Grants Pass, OR 97526-1430 | 2016-05-05 |
| 1659774792 | Heather Keeler | Podiatrist | 1880 Willamette Falls Dr Ste 111, West Linn, OR 97068-4653 | 2014-10-03 |
| 1386051803 | Southwest Podiatry Center LLC | Podiatrist | 9370 Sw Greenburg Rd Ste 102, Portland, OR 97223-5428 | 2014-07-16 |
| 1578980694 | Amy Theppote | Podiatrist | 6542 Se Lake Rd Ste 102, Milwaukie, OR 97222-2245 | 2014-03-26 |
| 1144576224 | Trevor J Haynes | Podiatrist | 39400 Pioneer Blvd Ste 4, Sandy, OR 97055-8000 | 2012-07-26 |
| 1922379379 | John S Balknap Dpm PC | Podiatrist | 1716 E 12th St, The Dalles, OR 97058-3137 | 2012-01-17 |
| 1407145568 | Justin T Johnson Dpm Inc. | Podiatrist | 1661 Hwy 99 N Ste 201, Ashland, OR 97520-8900 | 2011-03-29 |
| Find all providers with the same taxonomy | ||||
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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.