MS. MONICA ELIZABETH VENN (NPI# 1992039309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992039309 |
| Entity Type | Individual |
| Full Name | MS. MONICA ELIZABETH VENN |
| Credential | D.O. |
| Practice Address |
24850 Se Stark St Ste 200 Gresham OR 97030-8320 |
| Mailing Address |
Po Box 3777 Portland OR 97208-3777 |
| Practice Telephone | 5034919444 |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2020-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | DO199506 | OR | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 125.069271 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500634022 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 530 Ne Glen Oak Ave 2645, Peoria, IL 61637 | 3096554163 |
| Street Address |
24850 SE STARK ST STE 200 |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-8320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629219613 | Lorita Elaine Johnson | Mechanotherapist | 24850 Se Stark St Ste 200, Gresham, OR 97030-8320 | 2009-03-20 |
| 1285159251 | Wild Earth Wellness | Clinic/Center | 24850 Se Stark St Ste 200, Gresham, OR 97030-8320 | 2017-08-10 |
| 1326499666 | Julie Shiprack | Advanced Practice Midwife | 24850 Se Stark St Ste 200, Gresham, OR 97030-8320 | 2016-06-28 |
| 1558777342 | Britta Ameel | Obstetrics & Gynecology | 24850 Se Stark St Ste 200, Gresham, OR 97030-8320 | 2014-07-01 |
| 1982041703 | Kirsten Gwynn | Advanced Practice Midwife | 24850 Se Stark St Ste 200, Gresham, OR 97030-8320 | 2013-06-03 |
| 1770809303 | Audra Rachelle Norris-jacob | Obstetrics & Gynecology | 24850 Se Stark St Ste 200, Gresham, OR 97030-8320 | 2010-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376840249 | Daniel Marvin Patchin | Obstetrics & Gynecology | 4215 Se Regner Rd, Gresham, OR 97080-9464 | 2011-02-11 |
| 1386893444 | Diana Gill | Obstetrics & Gynecology | 2150 Ne Divison Street, Suite 202 Gresham Women's Healthcare, P.C., Gresham, OR 97030 | 2008-09-15 |
| 1356500821 | Mary Fariba Afsari-howard | Obstetrics & Gynecology | 2150 Ne Division St. Suite 202, Gresham Women's Healthcare, P.C., Gresham, OR 97030-5859 | 2008-06-09 |
| 1255513701 | Gresham Women's Healthcare, PC | Obstetrics & Gynecology | 2150 Ne Division St Ste 202, Gresham, OR 97030-5859 | 2007-11-27 |
| 1558777342 | Britta Ameel | Obstetrics & Gynecology | 24850 Se Stark St Ste 200, Gresham, OR 97030-8320 | 2014-07-01 |
| 1770809303 | Audra Rachelle Norris-jacob | Obstetrics & Gynecology | 24850 Se Stark St Ste 200, Gresham, OR 97030-8320 | 2010-04-07 |
| 1770787681 | Renee Nicole Goodreau | Obstetrics & Gynecology | 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 | 2007-06-13 |
| 1427066554 | Kelly Annette Carter | Obstetrics & Gynecology | 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 | 2006-08-04 |
| 1982612024 | Michelle Cecile Champagne | Obstetrics & Gynecology | 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 | 2006-08-04 |
| 1841208972 | Sandra Ann Collis | Obstetrics & Gynecology | 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 | 2006-08-04 |
| Find all providers in GRESHAM | ||||
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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.