DR. RONALD IM (NPI# 1891841334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891841334 |
Entity Type | Individual |
Full Name | DR. RONALD IM |
Credential | M.D. |
Practice Address |
2875 Nw Stucki Ave Hillsboro OR 97124-5806 |
Practice Telephone | 9713103722 |
Practice Fax Number | 9713103701 |
Mailing Telephone | 9713103722 |
Mailing Fax Number | 9713103701 |
Enumeration Date | 2007-01-26 |
Last Update Date | 2015-08-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208800000X | Urology | MD60170081 | WA | Allopathic & Osteopathic Physicians |
Y | 208800000X | Urology | MD152450 | OR | Allopathic & Osteopathic Physicians |
Street Address |
2875 NW STUCKI AVE |
City | HILLSBORO |
State | OR |
Zip Code | 97124-5806 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598711236 | Mai Pham | Physical Therapist | 2875 Nw Stucki Ave, Hillsboro, OR 97124-5806 | 2006-05-25 |
1619452109 | Leah S Thomas | Physical Therapist | 2875 Nw Stucki Ave, Hillsboro, OR 97124 | 2018-10-01 |
1104320266 | Reese Eleanor Lovegren | Case Manager/Care Coordinator | 2875 Nw Stucki Ave, Hillsboro, OR 97124 | 2018-03-22 |
1508382391 | Linda Miksovska | Student in an Organized Health Care Education/Training Program | 2875 Nw Stucki Ave, Hillsboro, OR 97124-5806 | 2017-08-14 |
1003351297 | Prudencia Flores Sabado-babal | Pharmacist | 2875 Nw Stucki Ave, Hillsboro, OR 97124-5806 | 2016-12-27 |
1912440686 | Sarah Glasser | Dietitian, Registered | 2875 Nw Stucki Ave, Hillsboro, OR 97124-5806 | 2016-11-29 |
1780136978 | Kaiser Foundation Health Plan of The Northwest | General Practice | 2875 Nw Stucki Ave, Hillsboro, OR 97124-5806 | 2016-11-04 |
1063961159 | Jessica Eggers | Occupational Therapist | 2875 Nw Stucki Ave, Hillsboro, OR 97124-5806 | 2016-09-29 |
1689122616 | Robin Mcdole | Pharmacist | 2875 Nw Stucki Ave, Hillsboro, OR 97124-5806 | 2016-09-20 |
1831647189 | June Bliss | Pharmacist | 2875 Nw Stucki Ave, Hillsboro, OR 97124-5806 | 2016-09-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538705322 | Pamela Anne Martin | Registered Nurse | 2875 Nw Stucki Pl, Hillsboro, OR 97124 | 2019-11-27 |
1912548892 | Donnia Mae Schwarz | Behavior Technician | 5121 Ne Elam Young Pkwy, Hillsboro, OR 97124 | 2019-10-02 |
1609305036 | Catherine Lydon | Registered Nurse | 18650 Nw Cornell Road Suite 220, Hillsboro, OR 97124 | 2017-06-08 |
1376092163 | Michael Han | Pharmacist | 2875 Nw Stucki Avenue/, Hillsboro, OR 97124 | 2016-09-22 |
1760868459 | Voices Set Free | Community/Behavioral Health | 254 North 1st Ave., Hillsboro, OR 97124 | 2015-08-04 |
1871980151 | Kevin Kar Fai Cheng | Dentist | 7206 Ne Cornell Rd, Hillsboro, OR 97124 | 2015-04-23 |
1336530047 | Maegan Lee Mcglone | Behavioral Analyst | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124 | 2015-02-17 |
1588095772 | Hillsboro Modern Dentistry, PC | Dentist | 2790 Nw 188th Avenue, Suite A, Hillsboro, OR 97124 | 2013-12-12 |
1275977043 | Dana Hazell | Massage Therapist | 5035 Ne Elam Young Parkway, Suite 500, Hillsboro, OR 97124 | 2013-04-24 |
1679816771 | Candice May Doyle | Massage Therapist | 5215 Ne Elam Young Park Way, Suite A, Hillsboro, OR 97124 | 2013-03-27 |
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Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952414773 | Edith Alfredda Kahrhoff | Urology | 2875 Nw Stucki Avenue, Northwest Permanente PC-westside Medical Specialities, Hillsboro, OR 97124 | 2006-08-16 |
1972711703 | Gregory Scott Rosenblatt | Urology | 333 Se 7th Ave, Suite 4500, Hillsboro, OR 97123-4157 | 2007-05-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609233824 | Jeremiah C. Murphy, M.d., PC | Urology | 19260 Sw 65th Ave Ste 400, Tualatin, OR 97062-5712 | 2016-01-19 |
1609200427 | Erika Lynn Mccarthy | Urology | 2973 12th St Se, Salem, OR 97302-3162 | 2013-08-28 |
1770826372 | Brian Matthew Blair | Urology | 24900 Se Stark St Ste 103, Gresham, OR 97030 | 2013-04-02 |
1376885418 | Sasha Courand Druskin | Urology | 2226 Nw Pettygrove St, Portland, OR 97210-2608 | 2013-03-26 |
1871837468 | Kirit S Shah M.d., P.C. | Urology | 171 Ne 102nd Ave, Portland, OR 97220-4169 | 2012-11-20 |
1235409236 | Good Samaritan Hospital Corvallis | Urology | 990 Nw Circle Blvd Suite 102, Corvallis, OR 97330-1967 | 2012-01-06 |
1679856439 | Thomas William Konowalchuk | Urology | 1070 Ne 7th Dr, Newport, OR 97365-2518 | 2011-09-27 |
1730484544 | James Bresee | Urology | 9135 Sw Barnes Rd Ste 663, Portland, OR 97225 | 2011-01-26 |
1063734556 | Gene Thomas Baumgarner | Urology | 3986 Mirror Pond Way, Eugene, OR 97408-5954 | 2010-02-24 |
1144470568 | Daniel R Khalil | Urology | 700 Sw Ramsey Suite 101, Grants Pass, OR 97527-5535 | 2008-09-22 |
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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.