KIRIT S SHAH M.D., P.C.


Address: 171 Ne 102nd Ave, Portland, OR 97220-4169
Phone: 5032546418

KIRIT S SHAH M.D., P.C. (NPI# 1871837468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871837468
Entity Type Organization
Organization Name KIRIT S SHAH M.D., P.C.
Other Organization Name EAST PORTLAND UROLOGY CLINIC
Practice Address 171 Ne 102nd Ave
Portland
OR 97220-4169
Practice Telephone 5032546418
Practice Fax Number 5032541029
Mailing Telephone 5032546418
Mailing Fax Number 5032541029
Enumeration Date 2012-11-20
Last Update Date 2012-11-20
Authorized Official Name MS. BECKY JO BREWER (OFFICE MANAGER)
Authorized Official Telephone 5032546418
Authorized Official Credential M.A.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology MD12620 OR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OR 226662 05

Other Provider/Organization Names

Other Name Type Code
East Portland Urology Clinic Doing Business As Name - Organization

Office Location

Street Address 171 NE 102ND AVE
City PORTLAND
State OR
Zip Code 97220-4169

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316569254 Debra Shamblin Behavioral Analyst 150 Ne 100th Ave, Portland, OR 97220 2020-05-14
1336780618 Joan Lambert Technician 2802 Ne 108th Avenue, Portland, OR 97220 2019-10-08
1750933917 Multnomah County Clinic/Center 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 2019-07-09
1194223107 Landmark Connect of Oregon PC General Practice 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 2018-01-24
1487178711 Andrew Shonk Massage Therapist 163 Ne 102nd Ave Blid V, Portland, OR 97220 2017-07-28
1548781693 Greater New Hope Family Services Lodging 11868 Ne Sandy Blvd, Portland, OR 97220 2017-06-29
1245771740 Maria Teresa Banez Salcedo Registered Nurse 10300 Ne Hancock Street, Portland, OR 97220 2017-03-16
1568901858 Christopher Gabriel Lyons Adult Companion 1343 Ne 118 Ave. Apt5, Portland, OR 97220 2017-02-20
1962945956 Linda Ann Oldenburg Registered Nurse 9515 Ne Skidmore Avenue, Portland, OR 97220 2016-11-23
1326493446 Trent D. Wilson Massage Therapist 8401 Ne Halsey St., Suite 101, Portland, OR 97220 2016-04-26
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376885418 Sasha Courand Druskin Urology 2226 Nw Pettygrove St, Portland, OR 97210-2608 2013-03-26
1730484544 James Bresee Urology 9135 Sw Barnes Rd Ste 663, Portland, OR 97225 2011-01-26
1538332291 James T Pappas, Md, PC Urology 5050 Ne Hoyt St Ste 428, Portland, OR 97213-2984 2008-04-02
1679775241 James Francis Tycast Urology 2230 Nw Pettygrove St Ste 210, Portland, OR 97210-2659 2007-06-04
1255546982 Nicholas A Boncher Urology 5050 Ne Hoyt St Ste 210, Portland, OR 97213-2980 2007-05-14
1740329366 Jaroslava Zoubek Urology 800 Sw 13th Ave Ste 663, Portland, OR 97205-1902 2007-02-06
1992809966 Bruce Henry Blank Urology 164 Nw Macleay Blvd, Portland, OR 97210-3323 2006-09-12
1396854121 Michael J Raife Urology 727 S Wahanna Road, Portland, OR 97138-7735 2006-08-29
1184660813 Kirit S Shah Urology 171 Ne 102nd Avenue, Portland, OR 97220-4169 2006-06-21
1134173032 Christopher Lee Amling Urology 3303 Sw Bond Ave, Mail Code Ch10u, Ohsu, Urology, Portland, OR 97239 2006-05-22
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97220

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Dataset Information

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.

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