DR. KATSUFUMI NISHIDA (NPI# 1912118159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912118159 |
| Entity Type | Individual |
| Full Name | DR. KATSUFUMI NISHIDA |
| Credential | M.D. |
| Practice Address |
3355 Riverbend Dr Ste 240 Springfield OR 97477-8800 |
| Mailing Address |
3355 Riverbend Dr Ste 240 Springfield OR 97477-8800 |
| Practice Telephone | 5416878304 |
| Mailing Telephone | 5416871712 |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2016-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MDR-4785 | HI | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
162449 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500660134 | 05 |
| Street Address |
3355 RIVERBEND DR STE 240 |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97477-8800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578964193 | Chelsea M Eastman | Physician Assistant | 3355 Riverbend Dr Ste 240, Springfield, OR 97477-8800 | 2014-09-15 |
| 1316351950 | Rebecca Milligan | Emergency Medicine | 3355 Riverbend Dr Ste 240, Springfield, OR 97477 | 2014-06-11 |
| 1013203348 | Jaime Erin Fair | Internal Medicine | 3355 Riverbend Dr Ste 240, Springfield, OR 97477-8800 | 2011-06-24 |
| 1174819502 | Jenna Lynn Shenk | Emergency Medicine | 3355 Riverbend Dr Ste 240, Springfield, OR 97477-8800 | 2011-06-23 |
| 1497998660 | Vanessa Rae Kizzier-carnahan | Internal Medicine | 3355 Riverbend Dr Ste 240, Springfield, OR 97477-8800 | 2009-04-16 |
| 1396912614 | Diana Franco Hansen | Internal Medicine | 3355 Riverbend Dr Ste 240, Springfield, OR 97477-8800 | 2008-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
| 1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
| 1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
| 1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
| 1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
| 1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
| Find all providers in zip 97477 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386067742 | Rashid Nayyar, M.d. PC | Internal Medicine | 6247 Rolling Spring Ct, Springfield, VA 22152-2242 | 2014-01-21 |
| 1982984142 | Frank Nelson Turner | Internal Medicine | 2260 Marcola Rd, Springfield, OR 97477-2594 | 2011-08-19 |
| 1447404561 | Pulmonary Specialists of The Ozarks, LLC | Internal Medicine | 2733 E Battlefield Rd, Springfield, MO 65804 | 2008-11-17 |
| 1023027281 | Walter S. Trombold | Internal Medicine | 3850 S National Ave Ste 510, Springfield, MO 65807-5292 | 2006-08-05 |
| 1871532283 | Edward Gwin | Internal Medicine | 1342 E Primrose St, Springfield, MO 65804-4279 | 2006-06-05 |
| 1801834395 | Thirupaimaruth K Raman | Internal Medicine | 222 Carew Street, 2nd Floor, Springfield, MA 01104-4103 | 2006-06-04 |
| 1629070693 | Brent D Bergen | Internal Medicine | 3800 S National Ave Ste 510, Springfield, MO 65807-5284 | 2005-08-10 |
| 1871081166 | Michele L Potter | Internal Medicine | 221 Northcrest Dr, Springfield, TN 37172-3962 | 2018-04-23 |
| 1316477508 | Muath Alsharif | Internal Medicine | 751 N Rutledge St Ste 2100, Springfield, IL 62702-4968 | 2017-06-19 |
| 1730610650 | Hampden Pulmonary and Sleep Medicine LLC | Internal Medicine | 2150 Main St, Springfield, MA 01104-3566 | 2017-03-22 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97477 |
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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.