Tyler J Paradis (NPI# 1003159096, PAC ID# 0345481974) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1003159096 |
| PAC ID by PECOS | 0345481974 |
| Professional Enrollment ID | I20170526001689 |
| Full Name | Tyler J Paradis |
| Organization Legal Name | COLUMBIA ANESTHESIA GROUP PS |
| Address |
1015 Nw 22nd Ave Portland OR 97210-3025 |
| Phone Number | 3608285396 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 8426954322 |
| Number of Group Practice Members | 84 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500050 | PEACEHEALTH SOUTHWEST MEDICAL CENTER |
| 500150 | LEGACY SALMON CREEK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1015 Nw 22nd Ave, Portland, OR 97210-3025 | 3608285396 | COLUMBIA ANESTHESIA GROUP PS |
| 2211 Ne 139th St, Legacy Salmon Creek Hospital, Vancouver, WA 98686-2742 | 3604871000 | COLUMBIA ANESTHESIA GROUP PS |
| 400 Ne Mother Joseph Place, Vancouver, WA 98664-3200 | 3602562000 | COLUMBIA ANESTHESIA GROUP PS |
| Organization Legal Name | COLUMBIA ANESTHESIA GROUP PS |
| Physicians | 71 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ramon Larios | Anesthesiology | Columbia Anesthesia Group Ps | 400 Ne Mother Joseph Place, Vancouver, WA 98664-3200 |
| Harvey M Carp | Anesthesiology | Columbia Anesthesia Group Ps | 7300 Sw Childs Rd A, Tigard, OR 97244-7772 |
| Gregory A Connell | Anesthesiology | Columbia Anesthesia Group Ps | 400 Ne Mother Joseph Place, Vancouver, WA 98664-3200 |
| Allen Zeitlin | Anesthesiology | Columbia Anesthesia Group Ps | 400 Ne Mother Joseph Place, Vancouver, WA 98664-3200 |
| Scott Richard Kennedy | Anesthesiology | Columbia Anesthesia Group Ps | 400 Ne Mother Joseph Place, Vancouver, WA 98664-3200 |
| Reid Roberts Bennett | Anesthesiology | Columbia Anesthesia Group Ps | 400 Ne Mother Joseph Place, Vancouver, WA 98664-3200 |
| Mary A Smart | Anesthesiology | Columbia Anesthesia Group Ps | 400 Ne Mother Joseph Place, Vancouver, WA 98664-3200 |
| Subeeh A Siddiqui | Anesthesiology | Columbia Anesthesia Group Ps | 400 Ne Mother Joseph Place, Vancouver, WA 98664-3200 |
| Jeffrey T Bolka | Anesthesiology | Columbia Anesthesia Group Ps | 400 Ne Mother Joseph Place, Vancouver, WA 98664-3200 |
| Tania Derington | Certified Registered Nurse Anesthetist (crna) | Columbia Anesthesia Group Ps | 400 Ne Mother Joseph Place, Vancouver, WA 98664-3200 |
| Street Address |
1015 NW 22ND AVE |
| City | PORTLAND |
| State | OR |
| Zip | 97210-3025 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Breanne C Rohde | Physician Assistant | Northwest Surgical Specialists PC | 1015 Nw 22nd Ave, Portland, OR 97210-3025 |
| Brian W Battalia | Emergency Medicine | Legacy Good Samaritan Hospital and Medical Center | 1015 Nw 22nd Ave, Portland, OR 97210-3025 |
| Jennifer L Letourneau | Internal Medicine | Legacy Clinics LLC | 1015 Nw 22nd Ave, Portland, OR 97210-3025 |
| Sarah W Barnaby | Certified Registered Nurse Anesthetist (crna) | Portland Anesthesia Specialists LLC | 1015 Nw 22nd Ave, Portland, OR 97210-3025 |
| Michael D Fox | Internal Medicine | Legacy Clinics LLC | 1015 Nw 22nd Ave, Portland, OR 97210-3025 |
| Jamie G Vogl | Certified Registered Nurse Anesthetist (crna) | Portland Anesthesia Specialists LLC | 1015 Nw 22nd Ave, Portland, OR 97210-3025 |
| Zachary Turner | Certified Registered Nurse Anesthetist (crna) | Portland Anesthesia Specialists LLC | 1015 Nw 22nd Ave, Portland, OR 97210-3025 |
| Suzanna Davis Barnhart | Nurse Practitioner | Legacy Clinics LLC | 1015 Nw 22nd Ave, Portland, OR 97210-3025 |
| Alana Perley | Certified Registered Nurse Anesthetist (crna) | Portland Anesthesia Specialists LLC | 1015 Nw 22nd Ave, Portland, OR 97210-3025 |
| Kaerli Main Christensen | Diagnostic Radiology | Diagnostic Imaging Nw PC | 1015 Nw 22nd Ave, Portland, OR 97210-3025 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul G Brown | Clinical Psychologist | 2134 Nw Aspen Ave, Portland, OR 97210-1217 | |
| Megan A Banker | Chiropractic | 2232 Nw Pettygrove St, Suite 110, Portland, OR 97210-2372 | |
| Gail F Ott | Chiropractic | Megan Banker Dc PC | 2232 Nw Pettygrove St, Suite 110, Portland, OR 97210-2372 |
| Carol Stimpson Christensen | Clinical Social Worker | 2520 Nw Upshur St, Portland, OR 97210-2550 | |
| Laurence W Christensen | Clinical Psychologist | 2520 Nw Upshur St, Portland, OR 97210-2550 | |
| Karen B Kelsall | Chiropractic | 1615 Nw23rd Ave, Suite 2, Portland, OR 97210-2563 | |
| Anthony U Weber | Chiropractic | Kelsall Chiropractic Clinic PC | 1615 Nw23rd Ave, Portland, OR 97210-2563 |
| Tony Farrenkopf | Psychologist, Clinical | 2256 Nw Pettygrove St, Portland, OR 97210-2608 | |
| Kimberly Michiko Nakayama | Qualified Audiologist | Northwest Ear Institute PC | 2230 Nw Pettygrove St, Suite 120, Portland, OR 97210-2659 |
| Jeffrey Christopher La Rochelle | Urology | Northwest Urology LLC | 2230 Nw Pettygrove, Suite 210, Portland, OR 97210-2659 |
| Find all physicians in zip 97210 | |||
| City | PORTLAND |
| Zip Code | 97210 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | PORTLAND + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Tyler J Paradis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.