PETER TANNAHILL BEATTY (NPI# 1710047592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710047592 |
| Entity Type | Individual |
| Full Name | PETER TANNAHILL BEATTY |
| Credential | MD |
| Practice Address |
19300 Sw 65th Legacy Meridian Park Hospital Tualatin OR 97062-8854 |
| Mailing Address |
6464 Sw Borland Road Suite A4 Tualatin OR 97062-8854 |
| Practice Telephone | 5036925737 |
| Practice Fax Number | 5036925307 |
| Mailing Telephone | 5036925737 |
| Mailing Fax Number | 5036925307 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD19626 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 085956 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447206784 | Peter A Beatty | Internal Medicine | 1200 John Q Hammons Dr, Dean Hematology & Oncology Center, Madison, WI 53717-1959 | 2006-05-26 |
| Street Address |
19300 SW 65TH LEGACY MERIDIAN PARK HOSPITAL |
| City | TUALATIN |
| State | OR |
| Zip Code | 97062-8854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487726246 | David Wesley Nelson Jr. | Radiology | 19300 Sw 65th, Legacy Meridian Park Hospital, Tualatin, OR 97062-8854 | 2006-11-15 |
| 1639239411 | Carl Emil Lopez | Radiology | 19300 Sw 65th, Legacy Meridian Park Hospital, Tualatin, OR 97062-8854 | 2006-12-11 |
| 1538229315 | Timothy David Kadlecek | Radiology | 19300 Sw 65th, Legacy Meridian Park Hospital, Tualatin, OR 97062-8854 | 2006-12-11 |
| 1851465041 | Robin Sean Kates | Radiology | 19300 Sw 65th, Legacy Meridian Park Hospital, Tualatin, OR 97062-8854 | 2006-11-20 |
| 1104998962 | Brian Robert Mahon | Radiology | 19300 Sw 65th, Legacy Meridian Park Hospital, Tualatin, OR 97062-8854 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467018739 | Activeedge Tualatin, LLP | Physical Therapist | 19150 Sw 90th Avenue, Suite 200, West Linn, OR 97062 | 2019-05-13 |
| 1932607934 | Naturalways Pediatrics | Clinic/Center | 18813 Sw Martiazzi Ave, Tualatin, OR 97062 | 2018-01-25 |
| 1831646280 | Elizabeth Erin Tafesse | Behavioral Analyst | 18765 Sw Boones Ferry Rd Suite 100, Tualatin, OR 97062 | 2016-09-01 |
| 1962851311 | Ana Mercedes Cerritos-sanchez | Community Health Worker | 19355 Sw 65th Ave Apt A5, Tualatin, OR 97062 | 2016-06-07 |
| 1952759318 | William Luke Summers | Counselor | 18840 Southwest Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2016-05-26 |
| 1730536913 | Krystle Alligood | Behavioral Analyst | 18768 Sw Boones Ferry Road, Tualatin, OR 97062 | 2016-05-18 |
| 1760869739 | Oregon City Medical Nw, Inc | Clinic/Center | 6464 Sw Borland Road #d-4, Tualatin, OR 97062 | 2015-04-29 |
| 1396148904 | Tracy Filley | Clinical Nurse Specialist | 18840 Sw Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2014-09-28 |
| 1043646474 | Michelle Lords | Registered Nurse | 7668 Sw Mohawk Street, Tualatin, OR 97062 | 2013-09-17 |
| 1871930750 | Sharon Ruth Frank | Social Worker | 7668 Sw Mohawk St., Aps Healthcare, Tualatin, OR 97062 | 2013-05-31 |
| Find all providers in zip 97062 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487726246 | David Wesley Nelson Jr. | Radiology | 19300 Sw 65th, Legacy Meridian Park Hospital, Tualatin, OR 97062-8854 | 2006-11-15 |
| 1891834842 | Sharon Dsouza | Radiology | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2007-02-06 |
| 1033266853 | Elizabeth Thomason Kutella | Radiology | 6464 Sw Borland Rd, Ste A-4, Tualatin, OR 97062-8876 | 2007-01-04 |
| 1639239411 | Carl Emil Lopez | Radiology | 19300 Sw 65th, Legacy Meridian Park Hospital, Tualatin, OR 97062-8854 | 2006-12-11 |
| 1801956685 | Michael Royce Paling | Radiology | Legacy Meridian Park Hospital, 19300 Sw 65th, Tualatin, OR 97062-8854 | 2006-12-11 |
| 1538229315 | Timothy David Kadlecek | Radiology | 19300 Sw 65th, Legacy Meridian Park Hospital, Tualatin, OR 97062-8854 | 2006-12-11 |
| 1851465041 | Robin Sean Kates | Radiology | 19300 Sw 65th, Legacy Meridian Park Hospital, Tualatin, OR 97062-8854 | 2006-11-20 |
| 1295807055 | Tualatin Imaging PC | Radiology | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2006-11-15 |
| 1104998962 | Brian Robert Mahon | Radiology | 19300 Sw 65th, Legacy Meridian Park Hospital, Tualatin, OR 97062-8854 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932621588 | Cascade Medical Imaging LLC | Radiology | 61270 Se Coombs Pl Ste 100, Bend, OR 97702-3704 | 2017-07-14 |
| 1003338963 | Central Oregon Magnetic Resonance Imaging LLC | Radiology | 61270 Se Coombs Pl Ste 150, Bend, OR 97702-3704 | 2017-07-12 |
| 1740713908 | Radiology Associates, PC | Radiology | 60472 Snap Shot Loop, Bend, OR 97702-2539 | 2017-04-05 |
| 1528413754 | Bay Area Radiology, PC | Radiology | 2823 Ne 55th Ave, Portland, OR 97213-3439 | 2016-04-25 |
| 1336503341 | Central Oregon Magnetic Resonance Imaging LLC | Radiology | 1253 Nw Canal Blvd Ste 101, Redmond, OR 97756-1334 | 2016-04-06 |
| 1790171585 | Dianna Howard | Radiology | 3181 Sw Sam Jackson Rd, Portland, OR 97239-3011 | 2015-04-08 |
| 1093147985 | Telerad of Or Account Management LLC | Radiology | 2315 W 28th Ave, Eugene, OR 97405-5901 | 2013-08-02 |
| 1245674506 | Jaryd Yee | Radiology | Ohsu Radiology Department, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239-3011 | 2013-04-17 |
| 1700175874 | Ramsey Al-hakim | Radiology | 3181 Sw Sam Jackson Park Rd # L605, Portland, OR 97239-3011 | 2011-03-29 |
| 1386961712 | Yama Kharoti | Radiology | 2801 N Gantenbein Ave Ste 4239, Portland, OR 97227-1623 | 2010-04-25 |
| 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.