DR. AMIT MEHTA (NPI# 1861607434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861607434 |
| Entity Type | Individual |
| Full Name | DR. AMIT MEHTA |
| Credential | M.D. |
| Practice Address |
707 Sw Gaines St Cdrc-p Portland OR 97239-2901 |
| Practice Telephone | 5034948196 |
| Practice Fax Number | 5034944951 |
| Mailing Telephone | 5034948196 |
| Mailing Fax Number | 5034944951 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2012-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
MD155425 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740544360 | Amit Kumar Mehta | Internal Medicine | 804 Service Road, Room A225, Msu Clinical Center, East Lansing, MI 48824 | 2012-06-28 |
| 1740460377 | Amit R Mehta | Internal Medicine | 550 New Waverly Place Suite 120, Cary, NC 27518-6679 | 2007-11-12 |
| 1457811150 | Amit Mehta | Student in an Organized Health Care Education/Training Program | 3800 Reservoir Rd Nw, Department of Neurology, Washington, DC 20007 | 2019-03-20 |
| 1891104485 | Amit Mehta | Student in an Organized Health Care Education/Training Program | 505 East 70th Street, Weill Cornell Internal Medicine Associates, New York, NY 10021 | 2014-08-07 |
| 1053666172 | Amit Mayur Mehta | Emergency Medicine | 6431 Fannin St, Jjl 430, Houston, TX 77030-1501 | 2012-07-15 |
| 1205159985 | Amit Mehta | Family Medicine | 955 Bellefonte Ave, Lock Haven, PA 17745-3033 | 2010-03-09 |
| 1811175003 | Amit Bakulesh Mehta | Anesthesiology | 1365 Wiley Road, Suite 153, Schaumburg, IL 60173-4357 | 2008-02-10 |
| 1689871030 | Amit Mehta | Pediatrics | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2007-06-29 |
| 1104031566 | Amit Mehta | Physical Therapist | 355 Briarwood Cir, Ann Arbor, MI 48108-1605 | 2007-05-11 |
| 1881749562 | Amit Mehta | Chiropractor | 17401 Ventura Blvd, Suite A-29, Encino, CA 91316-3860 | 2007-01-24 |
| Street Address |
707 SW GAINES ST CDRC-P |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-2901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184613960 | Laurie Armsby | Pediatrics | 707 Sw Gaines St, Cdrc-p, Portland, OR 97239-2901 | 2005-10-14 |
| 1851904759 | Debra Crawford | Physical Therapist | 707 Sw Gaines St, Portland, OR 97239-2901 | 2020-08-28 |
| 1437761574 | Lauren Nicole Beckett | Speech-Language Pathologist | 707 Sw Gaines St, Portland, OR 97239-2901 | 2020-08-19 |
| 1720699739 | Rachel Kirsten Greene | Psychologist | 707 Sw Gaines St, Portland, OR 97239-2901 | 2020-08-13 |
| 1356970008 | Emily Knell Spaeth | Physical Therapist | 707 Sw Gaines St, Portland, OR 97239-2901 | 2020-04-05 |
| 1720617798 | Paula Tran | Occupational Therapist | 707 Sw Gaines St, Portland, OR 97239-2901 | 2020-04-02 |
| 1760038111 | Natalie Alexandra Galvan | Speech-Language Pathologist | 707 Sw Gaines St, Portland, OR 97239-2901 | 2019-08-12 |
| 1932752466 | Janvi S. Patel | Occupational Therapist | 707 Sw Gaines St, Portland, OR 97239-2901 | 2019-07-23 |
| 1033761119 | Danielle Moyer | Psychologist | 707 Sw Gaines St, Portland, OR 97239-2901 | 2019-07-10 |
| 1790268779 | Lily Gullion | Occupational Therapist | 707 Sw Gaines St, Portland, OR 97239-2901 | 2018-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093294654 | Elva Linda Pereida | Pediatrics | 107 Palisades, Portland, TX 78374-4144 | 2018-08-14 |
| 1699066647 | Michael Zubrow | Pediatrics | 22 Bramhall St, Portland, ME 04102 | 2011-04-26 |
| 1487953154 | Laura Amar-dolan | Pediatrics | 22 Bramhall St, Portland, ME 04102-3175 | 2011-03-21 |
| 1609179639 | Shinpei Shibata | Pediatrics | 707 Sw Gaines St, Mail Code: Cdrcp, Portland, OR 97239-2901 | 2010-12-14 |
| 1437303443 | Cydni Nicole Williams | Pediatrics | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2008-11-05 |
| 1083863682 | Pediatric Intensive Care Trauma Associates PC | Pediatrics | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2008-09-18 |
| 1891976098 | Kristine M Pleacher | Pediatrics | 22 Bramhall St, Portland, ME 04102 | 2007-11-16 |
| 1972649283 | Carolyn F Shelak | Pediatrics | 2801 N Gantenbein Ave, Legacy Emanuel Children's Hospital, Portland, OR 97227-1623 | 2007-01-30 |
| 1780692210 | Miles Steven Ellenby | Pediatrics | 3181 Sw Sam Jackson Park Rd, Doernbecher Children's Hospital Pediatric Icu, Portland, OR 97239-3011 | 2006-08-03 |
| 1780699298 | Aileen Lanette Kirby | Pediatrics | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2006-07-31 |
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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.