KARL O. WUSTRACK,MD,PC (NPI# 1881966398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881966398 |
| Entity Type | Organization |
| Organization Name | KARL O. WUSTRACK,MD,PC |
| Practice Address |
1830 Blankenship Rd Suite 100 West Linn OR 97068-4181 |
| Practice Telephone | 5036559727 |
| Practice Fax Number | 5036559865 |
| Mailing Telephone | 5036559727 |
| Mailing Fax Number | 5036559865 |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2012-01-30 |
| Authorized Official Name | DR. KARL OTTO WUSTRACK (OWNER) |
| Authorized Official Telephone | 5036559727 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | MD08363 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
1830 BLANKENSHIP RD SUITE 100 |
| City | WEST LINN |
| State | OR |
| Zip Code | 97068-4181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326098401 | Melanie S Weeks | Anesthesiology | 1830 Blankenship Rd, Suite 200, West Linn, OR 97068-4181 | 2006-05-11 |
| 1801133129 | Tyler John Emmert | Chiropractor | 1830 Blankenship Rd, Suite 210, West Linn, OR 97068-4181 | 2013-01-07 |
| 1114233533 | Jeremy Cobb | Dentist | 1830 Blankenship Rd, Suite 225, West Linn, OR 97068-4181 | 2010-08-23 |
| 1639347511 | Emmert Chiropractic Company | Clinic/Center | 1830 Blankenship Rd, Suite 210, West Linn, OR 97068 | 2008-02-13 |
| 1447317847 | Raoul Gerald Calderon | Dentist | 1830 Blankenship Rd, Suite 225, West Linn, OR 97068-4181 | 2007-01-03 |
| 1124046792 | Fred Joseph Ramsey | Registered Nurse | 1830 Blankenship Rd, Suite 200, West Linn, OR 97068-4181 | 2006-07-18 |
| 1760415368 | Karl Otto Wustrack | Specialist | 1830 Blankenship Rd, #100, West Linn, OR 97068-4181 | 2006-07-08 |
| 1467499947 | Michael Lynn Brisbin | Nurse Anesthetist, Certified Registered | 1830 Blankenship Rd, Ste 200, West Linn, OR 97068-4181 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023678224 | Bethany Joy Bivin | Registered Nurse | 2020 8th Ave Ste 230, West Linn, OR 97068 | 2019-06-19 |
| 1932612777 | Portland Dental Works, LLC | Dentist | 1750 Mckillican, West Linn, OR 97068 | 2017-11-15 |
| 1316460702 | Cameron Johnson Dc LLC | Chiropractor | 21400 Salamo Rd, West Linn, OR 97068 | 2017-07-18 |
| 1376913301 | Genesis Medical Concepts, LLC | Durable Medical Equipment & Medical Supplies | 2020 8th Ave Ste 222, West Linn, OR 97068 | 2015-10-02 |
| 1780052977 | Amanda Carole Tipton | Chiropractor | 21860 Willamette Drive, West Linn, OR 97068 | 2015-09-04 |
| 1457766859 | Eyedeology, Inc | Optometrist | 5656 Hood St. Ste 107, West Linn, OR 97068 | 2014-06-24 |
| 1740694660 | Ariana Bissinger | Nurse Practitioner | 1148 Rosemont Rd, West Linn, OR 97068 | 2014-06-18 |
| 1154606887 | Heather Marie Ellison | Massage Therapist | 22000 Willamette Dr., #107, West Linn, OR 97068 | 2011-10-13 |
| 1336432616 | Lisa Grage | Dental Hygienist | 3551 Coeur D'alene Dr., West Linn, OR 97068 | 2011-05-19 |
| 1316240583 | David Robert Gleave | Psychologist | 1800 Blankenship Rd Ste 200, West Linn, OR 97068 | 2010-12-10 |
| Find all providers in zip 97068 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609891035 | Gregory Lloyd Combs | Plastic Surgery | 1914 Willamette Falls Dr, Suite 210, West Linn, OR 97068-4688 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437573185 | Portland Plastic Surgery Group, LLC | Plastic Surgery | 1200 Nw Naito Pkwy Ste 310, Portland, OR 97209-2829 | 2014-02-14 |
| 1811255250 | Richard Sean Mcnally | Plastic Surgery | 5050 Ne Hoyt St Ste 422, Portland, OR 97213 | 2012-04-23 |
| 1073891172 | Amanda K Nelson | Plastic Surgery | 777 Sw Mill View Way Ste 100, Bend, OR 97702 | 2011-07-25 |
| 1811284433 | Ivan Nicolas Vial | Plastic Surgery | 2450 Ne Mary Rose Pl Ste 201, Bend, OR 97701-7133 | 2011-07-03 |
| 1942507819 | James A Kilgore Md, PC | Plastic Surgery | 19250 Sw 65th Ave Ste 365, Tualatin, OR 97062-7747 | 2011-02-11 |
| 1710140215 | Shiliang Chang | Plastic Surgery | 3303 Sw Bond Ave Ste 5, Portland, OR 97239-4501 | 2008-07-03 |
| 1770742207 | Christopher Stephen Zarella | Plastic Surgery | 501 N Graham St Ste 300, Portland, OR 97227-2008 | 2008-06-09 |
| 1841475803 | Northwest Cosmetic Surgery, LLC | Plastic Surgery | 777 Sw Mill View Way, Suite 100, Bend, OR 97702-1140 | 2008-01-08 |
| 1093937468 | Margo S Herron | Plastic Surgery | 638 N Main St Ste C, Ashland, OR 97520-1887 | 2007-05-03 |
| 1871623678 | Shane Christopher Kim | Plastic Surgery | 1130 Nw 22nd Ave Ste 420, Portland, OR 97210-2995 | 2007-03-07 |
| 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.