DR. RONALD IM


Address: 2875 Nw Stucki Ave, Hillsboro, OR 97124-5806
Phone: 9713103722

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 2875 NW STUCKI AVE
City HILLSBORO
State OR
Zip Code 97124-5806

Providers in the same location

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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Providers in the same zip code

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 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
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

Providers in the same taxonomy and state

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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Competitor

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City HILLSBORO
Zip Code 97124

Improve Information

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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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