DR. GERALD MARC SEGAL (NPI# 1942203534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942203534 |
| Entity Type | Individual |
| Full Name | DR. GERALD MARC SEGAL |
| Credential | M.D. |
| Practice Address |
265 N Broadway St Portland OR 97227-1800 |
| Practice Telephone | 5032801223 |
| Practice Fax Number | 5035285252 |
| Mailing Telephone | 5032801223 |
| Mailing Fax Number | 5035285252 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2012-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD14774 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1022695 | 05 | |
| OR | 171454 | 05 |
| Street Address |
265 N BROADWAY ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851394878 | Jennifer Hope Christiansen | Physician Assistant | 265 N Broadway St, Portland, OR 97227-1800 | 2005-05-23 |
| 1114285301 | Charlotte Haws | Physician Assistant | 265 N Broadway St, Portland, OR 97227-1800 | 2012-04-25 |
| 1457659922 | Vanessa Kathleen Sanne | Nurse Practitioner | 265 N Broadway St, Portland, OR 97227-1800 | 2011-03-08 |
| 1972562809 | Jody Lynn Kujovich | Internal Medicine | 265 N Broadway St, Portland, OR 97227-1800 | 2006-03-20 |
| 1942276282 | Lisa Diane Clark | Nurse Practitioner | 265 N Broadway St, Portland, OR 97227-1800 | 2006-02-27 |
| 1295716496 | William Edward Winter IIi | Obstetrics & Gynecology | 265 N Broadway St, Portland, OR 97227-1800 | 2005-11-07 |
| 1417949124 | Tony V Ho | Internal Medicine | 265 N Broadway St, Portland, OR 97227-1800 | 2005-08-18 |
| 1811990484 | Paul Chien-chung Tseng | Obstetrics & Gynecology | 265 N Broadway St, Portland, OR 97227-1800 | 2005-05-27 |
| 1841293420 | Spencer Hsiao-yang Shao | Internal Medicine | 265 N Broadway St, Portland, OR 97227-1800 | 2005-05-27 |
| 1730182395 | Ralph Elliott Weinstein | Internal Medicine | 265 N Broadway St, Portland, OR 97227-1800 | 2005-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1851955975 | Erin Marie Staples | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 | 2019-04-24 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1730615071 | Mehran Giblin | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 | 2017-05-05 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| 1407300205 | Jenna Abernathy | Counselor | 3537 N Williams Ave, Portland, OR 97227 | 2016-08-09 |
| 1215390760 | Tanya Marie Woods | Massage Therapist | 3808 N. Williams Ave., Portland, OR 97227 | 2016-04-01 |
| 1033596853 | Eric Allen Martin | Counselor | 2054 N. Vancouver Ave, Portland, OR 97227 | 2015-04-30 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| Find all providers in zip 97227 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366860553 | Daniel Guy | Internal Medicine | 4805 Ne Glisan St Ste 11n-1, Portland, OR 97213-2933 | 2014-04-03 |
| 1033464318 | William Galen | Internal Medicine | 1221 Sw 10th Ave, 1804, Portland, OR 97205-2426 | 2012-07-23 |
| 1730348632 | Sasha Elizabeth Stanton | Internal Medicine | 4805 Ne Glisan St # 2n103, Portland, OR 97213-2933 | 2008-06-05 |
| 1801010004 | Providence Health & Services Oregon | Internal Medicine | 4805 Ne Glisan St Ste 11n, Portland, OR 97213-2933 | 2007-04-12 |
| 1649392135 | Rosemarie Mannino | Internal Medicine | 3710 Sw Us Veteran Hospital Rd, Portland, OR 97239 | 2007-04-04 |
| 1649312398 | Ivan P Law Md PC | Internal Medicine | 2707 Ne 33rd Ave, Portland, OR 97212-3649 | 2007-02-12 |
| 1700960671 | Gina Vaccaro | Internal Medicine | 9135 Sw Barnes Rd Ste 261, Portland, OR 97225-6784 | 2006-10-25 |
| 1528073012 | Brian Jay Druker | Internal Medicine | 3181 Sw Sam Jackson Park Rd, L952, Portland, OR 97239 | 2006-07-31 |
| 1265475198 | Maria Gia Gregorio | Internal Medicine | 10859 Nw Supreme Ct, Portland, OR 97229-8816 | 2006-06-14 |
| 1124021753 | Stacy K Lewis | Internal Medicine | 9135 Sw Barnes Rd, Ste 261, Portland, OR 97225-6601 | 2005-05-27 |
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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.