SOUNAK N MISRA (NPI# 1831144872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831144872 |
Entity Type | Individual |
Full Name | SOUNAK N MISRA |
Credential | MD |
Practice Address |
700 N Hayden Island Dr Ste 100 Portland OR 97217-8130 |
Mailing Address |
2530 Se 26th Ave Apt 407 Portland OR 97202-1484 |
Practice Telephone | 9715335840 |
Practice Fax Number | 9712702806 |
Mailing Telephone | 9136369616 |
Mailing Fax Number | 9712702806 |
Enumeration Date | 2006-05-24 |
Last Update Date | 2019-01-07 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | MD26161 | OR | Allopathic & Osteopathic Physicians |
Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
MD26161 | OR | Allopathic & Osteopathic Physicians |
N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
MD26161 | OR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 271033 | 05 | |
OR | RR MEDICARE | P00294103 | 01 |
Street Address |
700 N HAYDEN ISLAND DR STE 100 |
City | PORTLAND |
State | OR |
Zip Code | 97217-8130 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558719450 | Ascension Medical Group LLC | Family Medicine | 700 N Hayden Island Dr Ste 100, Portland, OR 97217-8130 | 2016-06-01 |
1942522388 | John Henry Hardy Jr. | Family Medicine | 700 N Hayden Island Dr Ste 100, Portland, OR 97217-8130 | 2010-02-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326531666 | Working Class Medicine LLC | Clinic/Center | 2133 N. Willis Blvd, Studio D, Portland, OR 97217 | 2018-06-12 |
1235643602 | Autism Outreach of Oregon | Occupational Therapist | 10350 N Vancouver Way #1043, Portland, OR 97217 | 2017-11-21 |
1689183717 | Kai-uwe H. Hahn Dmd Dba Edelweiss Dental | Clinic/Center | 3503 N Lombard Street, Portland, OR 97217 | 2017-09-20 |
1407308125 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 3449 N Anchor Street, Ste 300a, Portland, OR 97217 | 2016-10-28 |
1750740577 | Sheila Amoo | Adult Companion | 236 N Killingworth St. Apt.b104, Portland, OR 97217 | 2016-02-22 |
1801282199 | Justine Osborn | Specialist | 4310 N. Interstate Ave, Portland, OR 97217 | 2015-04-13 |
1578957742 | Paul Buck Md, Dds, PC | Clinic/Center | 3332 N Lombard St, Suite C, Portland, OR 97217 | 2015-03-25 |
1295158186 | Rebecca Bulleri | Massage Therapist | 5416 N. Maryland Ave, Portland, OR 97217 | 2014-01-28 |
1659793107 | Shellmire Unlimited, P.C. | Community/Behavioral Health | 4134 N Vancouver Avenue, Suite 102, Portland, OR 97217 | 2014-01-16 |
1417207994 | Sportland Acupuncture LLC | Acupuncturist | 1025 N Humboldt, Portland, OR 97217 | 2012-09-12 |
Find all providers in zip 97217 |
Taxonomy Code | 207RA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Addiction Medicine |
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619333259 | Bhs Physician Services of Oregon PC | Internal Medicine | 601 Sw 2nd Ave Ste 2100, Portland, OR 97204-3158 | 2016-01-12 |
1619967577 | Vern R Williams | Internal Medicine | 15 N Morris St, Portland, OR 97227-1541 | 2005-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205341617 | Mid-valley Healthcare Inc | Internal Medicine | 111 N Main St Ste A, Lebanon, OR 97355-2869 | 2017-12-07 |
1366953861 | Ortc, LLC | Internal Medicine | 155 Ne Revere Ave Ste 150, Bend, OR 97701-4147 | 2017-10-24 |
1730552845 | Kpg Oregon, LLC | Internal Medicine | 486 12th Street #200, Astoria, OR 97103 | 2015-11-11 |
1316948862 | Richard Hindmarsh | Internal Medicine | 100 Mullins Dr Ste C1, Lebanon, OR 97355-2868 | 2005-08-09 |
1568625788 | William Barbee Mitchell | Internal Medicine | 715 Lincoln St, Eugene, OR 97401-2502 | 2008-07-08 |
1932129160 | Robert John Naymik | Internal Medicine | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2006-07-20 |
1134145311 | H Kay Wendlandt | Internal Medicine | 17882 Se Mcloughlin Blvd, Milwaukie, OR 97267-6103 | 2006-07-14 |
1851335913 | Bruce E. Matthews | Internal Medicine | 100 Mullins Dr Ste C1, Lebanon, OR 97355-2868 | 2006-06-16 |
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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.