CORNELL PAIN CLINIC LLC (NPI# 1861900516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861900516 |
| Entity Type | Organization |
| Organization Name | CORNELL PAIN CLINIC LLC |
| Other Organization Name | SURESH CHAND MD |
| Practice Address |
15455 Nw Greenbrier Pkwy Ste 130 Beaverton OR 97006 |
| Mailing Address |
15455 Nw Greenbrier Pkwy Ste 130 Beaverton OR 97006-8115 |
| Practice Telephone | 5033769200 |
| Practice Fax Number | 5033769201 |
| Mailing Telephone | 5033769200 |
| Mailing Fax Number | 5033769201 |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-06-28 |
| Authorized Official Name | DR. SURESH CHAND (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5033769200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
MD178982 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500710995 | 05 |
| Other Name | Type Code |
|---|---|
| Cornell Pain Clinic | Former Legal Business Name - Organization |
| Suresh Chand MD | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CORNELL PAIN CLINIC LLC | 15455 Nw Greenbrier Pkwy Ste 130, Beaverton, OR 97006 |
| Street Address |
15455 NW GREENBRIER PKWY STE 130 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922386614 | Suresh Chand | Psychiatry & Neurology | 15455 Nw Greenbrier Pkwy Ste 130, Beaverton, OR 97006-8115 | 2011-07-28 |
| 1649773490 | Cornell Pain Clinic | Psychiatry & Neurology | 15455 Nw Greenbrier Pkwy Ste 130, Beaverton, OR 97006 | 2018-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238727 | Hayden Alexander Meriwether | Dentist | 17895 Ne Evergreen Pkwy, #100, Beaverton, OR 97006 | 2020-09-01 |
| 1336781202 | Courtney Rae Murata | Behavior Technician | 337 Nw 215th Terrace, Apt, 106, Hillsboro, OR 97006 | 2019-10-11 |
| 1992355986 | Pamela J. Viado | Technician | 1220 Nw Weybridge Way, Beaverton, OR 97006 | 2019-09-12 |
| 1477115384 | One Change Group | Community/Behavioral Health | 2499 Nw 206th Ave, Apt A233, Hillsboro, OR 97006 | 2019-07-01 |
| 1649731332 | Regina C. Rizo | Social Worker | 1925 Amberglen Parkway, #3a-131, Hillsboro, OR 97006 | 2019-03-26 |
| 1043731912 | Elizabeth A Cintron | Occupational Therapy Assistant | 1189 Ne 89th Ave Apt 305, Hillsboro, OR 97006 | 2017-06-30 |
| 1265979173 | Lindsay Jensen | Massage Therapist | 15220 Nw Greenbrier Pkwy Ste 260, Beaverton, OR 97006 | 2017-01-30 |
| 1851835722 | Changepoint, Inc | Clinic/Center | 1700 Nw 167th Place, Suite 240, Beaverton, OR 97006 | 2016-12-13 |
| 1689126302 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 2225 Nw Towncenter Drive, Beaverton, OR 97006 | 2016-10-28 |
| 1558717413 | Dillon Duvall | Physical Therapist | 16895 Nw Cornell Rd, #110, Beaverton, OR 97006 | 2016-05-10 |
| Find all providers in zip 97006 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164942611 | Mid-valley Healthcare, Inc. | Pain Medicine | 5234 Sw Philomath Blvd Ste C, Corvallis, OR 97333-1042 | 2017-06-26 |
| 1093269995 | Center for Regenerative Orthopedic Medicine, PC | Pain Medicine | 786 State St, Medford, OR 97504-8441 | 2016-08-09 |
| 1649420548 | Pacific Pain Management PC | Pain Medicine | 6542 Se Lake Rd Ste 202, Milwaukie, OR 97222-2245 | 2008-09-26 |
| 1336265107 | Laura M Scobie | Pain Medicine | 1010 Tenth St, Hood River, OR 97031 | 2007-03-22 |
| 1427188309 | Patrick Rask | Pain Medicine | 2364 Main St, Suite A, Philomath, OR 97370-9488 | 2007-03-07 |
| 1831125616 | Joseph S Dunn | Pain Medicine | 74b Centennial Loop Ste 100, Eugene, OR 97401-7919 | 2006-06-24 |
| 1912940396 | Mid-valley Healthcare Inc | Pain Medicine | 100 Mullins Dr Ste C, Lebanon, OR 97355-3982 | 2006-06-14 |
| 1063418333 | Vladimir B. Fiks | Pain Medicine | 10305 Sw Park Way, Ste 300, Portland, OR 97225-5033 | 2005-06-22 |
| 1881186336 | Pacific Sports and Interventional Spine, LLC | Pain Medicine | 74b Centennial Loop Ste 100, Eugene, OR 97401-7919 | 2018-05-31 |
| 1578077954 | Liberty Spine & Pain Center, P.C. | Pain Medicine | 350 Miller St Se, Salem, OR 97302-4272 | 2017-11-21 |
| 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.