MANISH MEHTA (NPI# 1750310173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750310173 |
| Entity Type | Individual |
| Full Name | MANISH MEHTA |
| Credential | MD |
| Practice Address |
1040 Nw 22nd Ave., Suite 660 Portland OR 97210 |
| Mailing Address |
Po Box 3777 Portland OR 97208-3777 |
| Practice Telephone | 5034137162 |
| Practice Fax Number | 5034137148 |
| Mailing Telephone | 5034133900 |
| Mailing Fax Number | 5034133710 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2017-02-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD26580 | OR | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD26580 | OR | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
MD26580 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 278327 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790085223 | Manish Mehta | Emergency Medicine | 39297 Sierra La Vida, Murrieta, CA 92563-3802 | 2010-11-01 |
| 1376534602 | Manish Mehta | Surgery | 713 Troy Schenectady Rd Ste 125, Latham, NY 12110-2490 | 2005-11-04 |
| 1811491566 | Manish Paresh Mehta | Orthopaedic Surgery | Northwestern Memorial Hospital, 251 East Huron Street, Chicago, IL 60611 | 2018-03-19 |
| 1336660919 | Manish Mehta | Pharmacist | 10507 Spring Hill Dr, Spring Hill, FL 34608-5047 | 2017-07-04 |
| 1720146871 | Manish Mehta | Urology | 4305 Torrance Blvd, 109, Torrance, CA 90503-4409 | 2006-12-04 |
| Street Address |
1040 NW 22ND AVE., SUITE 660 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97210 |
| 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 | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104956937 | Heart Rhythm Consultants, P.C. | Internal Medicine | 9427 Sw Barnes Rd Ste 490, Portland, OR 97225-6652 | 2007-03-07 |
| 1255515938 | Fawaz Alhumaid | Internal Medicine | 10000 Se Main St, Suite 60b, Portland, OR 97216-2448 | 2007-12-18 |
| 1023104726 | Eric Carl Stecker | Internal Medicine | 3181 Sw Sam Jackson Park Rd, Uhn-62, Portland, OR 97239 | 2006-10-04 |
| 1598701690 | Paul J Deitering | Internal Medicine | 9427 Sw Barnes Rd, Suite 490, Portland, OR 97225-6652 | 2006-06-20 |
| 1235199704 | Charles A Henrikson | Internal Medicine | 3181 Sw Sam Jackson Park Rd, Division of Cardiology Uhn 62, Portland, OR 97239-3011 | 2006-03-27 |
| 1447258710 | Blair D Halperin | Internal Medicine | 9427 Sw Barnes Rd, Ste 490, Portland, OR 97225-6652 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154307528 | Hongsheng M Guo | Internal Medicine | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2005-12-19 |
| 1528429198 | The Rhythm Clinic LLC | Internal Medicine | 16463 Boones Ferry Rd, Lake Oswego, OR 97035-4259 | 2016-03-10 |
| 1356786388 | Providence Health & Services - Oregon | Internal Medicine | 1003 Providence Dr, Suite 315, Newberg, OR 97132-7524 | 2013-05-03 |
| 1770926776 | Providence Health & Services - Oregon | Internal Medicine | 1355 Exchange St, Astoria, OR 97103-3980 | 2013-04-10 |
| 1639454903 | Cascade Cardiology LLC | Internal Medicine | 777 Commercial St Se, Salem, OR 97301-0060 | 2011-10-18 |
| 1548545817 | Cascade Cardiology LLC | Internal Medicine | 777 Commercial St Se, Suite 130, Salem, OR 97301-3421 | 2011-10-18 |
| 1235225624 | Matthew C Fedor | Internal Medicine | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301 | 2006-10-05 |
| 1366465775 | Kyong T Turk | Internal Medicine | 885 Mission St Se, Salem, OR 97302-6222 | 2006-07-26 |
| 1013959493 | Salem Cardiology Arrhythmia Division, P.C. | Internal Medicine | 875 Oak St Se, Suite #5040, Salem, OR 97301-3975 | 2006-06-12 |
| 1578503249 | Wallace I Lai I | Internal Medicine | 2480 Liberty St Ne, Suite 110, Salem, OR 97301-8380 | 2006-06-08 |
| 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.