Richard D Southgate (NPI# 1720303308, PAC ID# 0648577270) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1720303308 |
| PAC ID by PECOS | 0648577270 |
| Professional Enrollment ID | I20171208002733 |
| Full Name | Richard D Southgate |
| Organization Legal Name | ORTHOPEDIC AND FRACTURE CLINIC PC |
| Address |
14795 Sw Murray Scholls Dr Suite 109 Beaverton OR 97007-9230 |
| Phone Number | 5032145200 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 1052219953 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380004 | PROVIDENCE ST VINCENT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 14795 Sw Murray Scholls Dr, Suite 109, Beaverton, OR 97007-9230 | 5032145200 | ORTHOPEDIC AND FRACTURE CLINIC PC |
| 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225-5933 | 5032145200 | ORTHOPEDIC AND FRACTURE CLINIC PC |
| Organization Legal Name | ORTHOPEDIC AND FRACTURE CLINIC PC |
| Physicians | 41 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert B Bettencourt | Family Medicine | Orthopedic and Fracture Clinic PC | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225-5933 |
| Sandi J Mcrae | Occupational Therapy | Orthopedic and Fracture Clinic PC | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225-5933 |
| Linda I Okereke | Physical Medicine and Rehabilitation | Orthopedic and Fracture Clinic PC | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225-5933 |
| Alexander M Dehaan | Orthopedic Surgery | Orthopedic and Fracture Clinic PC | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225-5933 |
| James Stewart Davitt | Orthopedic Surgery | Orthopedic and Fracture Clinic PC | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225-5933 |
| Alexander Denes | Orthopedic Surgery | Orthopedic and Fracture Clinic PC | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225-5933 |
| Jason B Kurian | Orthopedic Surgery | Orthopedic and Fracture Clinic PC | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225-5933 |
| Hannah Fae Aultman | Orthopedic Surgery | Orthopedic and Fracture Clinic PC | 14795 Sw Murray Scholls Dr, Suite 109, Beaverton, OR 97007-9230 |
| Danielle C Kohl | Physician Assistant | Orthopedic and Fracture Clinic PC | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225-5933 |
| Kimberly L Workman | Orthopedic Surgery | Orthopedic and Fracture Clinic PC | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225-5933 |
| Street Address |
14795 SW MURRAY SCHOLLS DR SUITE 109 |
| City | BEAVERTON |
| State | OR |
| Zip | 97007-9230 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Renee Davis | Nurse Practitioner | Scholls Family Care | 14795 Sw Murray Scholls Dr, Suite 121, Beaverton, OR 97007-9713 |
| Hannah Fae Aultman | Orthopedic Surgery | Orthopedic and Fracture Clinic PC | 14795 Sw Murray Scholls Dr, Suite 109, Beaverton, OR 97007-9230 |
| Megan Jo Gabourel | Physical Therapy | Orthopedic and Fracture Clinic PC | 14795 Sw Murray Scholls Dr, Suite 109, Beaverton, OR 97007-9230 |
| Jeana Lyn Summers | Pediatric Medicine | Orthopedic and Fracture Clinic PC | 14795 Sw Murray Scholls Dr, Suite 109, Beaverton, OR 97007-9230 |
| Megan Marie Monty | Nurse Practitioner | Scholls Family Care | 14795 Sw Murray Scholls Dr, Suite 121, Beaverton, OR 97007-9713 |
| Patrick N.p. Huynh | Nurse Practitioner | Scholls Family Care | 14795 Sw Murray Scholls Dr, Suite 121, Beaverton, OR 97007-9713 |
| Helen L Henry | Internal Medicine | Scholls Family Care | 14795 Sw Murray Scholls Dr, Suite 121, Beaverton, OR 97007-9713 |
| Patricia L Brandon | Nurse Practitioner | Scholls Family Care | 14795 Sw Murray Scholls Dr, Suite 121, Beaverton, OR 97007-9713 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James J Devaney | Certified Clinical Nurse Specialist (cns) | Sequoia Mental Health Services Inc | 4585 Sw 185th Ave, Aloha, OR 97007-1557 |
| Tatiana M Pritchard | Nurse Practitioner | Sequoia Mental Health Services Inc | 4585 Sw 185th Ave, Aloha, OR 97007-1557 |
| Nemecia R Salindong Dario | Psychiatry | Sequoia Mental Health Services Inc | 4585 Sw 185th Ave, Aloha, OR 97007-1557 |
| Christy A Scott | Nurse Practitioner | Sequoia Mental Health Services Inc | 4585 Sw 185th Ave, Aloha, OR 97007-1557 |
| Charlene D Rogers | Clinical Social Worker | Sequoia Mental Health Services Inc | 4585 Sw 185th Ave, Aloha, OR 97007-1557 |
| David S Chung | Podiatry | 4055 Sw 185th Ave, Suite 100, Aloha, OR 97007-1567 | |
| Robert M Rathbone | Chiropractic | 4055 Sw 185th Ave, Suite 200, Aloha, OR 97007-1567 | |
| Caitlin Nicole Mckernan | Physical Therapy | Erhardt Physical Therapy and Sports Medicine LLC | 14603 Sw Teal Blvd, Beaverton, OR 97007-6194 |
| Ann M Slocum Edmonds | Optometry | D Gregory Luce Od PC | 14667 Sw Teal Blvd, Murrayhill Eye Care, Beaverton, OR 97007-6194 |
| David Gregory Luce | Optometry | D Gregory Luce Od PC | 14667 Sw Teal Blvd, Murrayhill Eye Care, Beaverton, OR 97007-6194 |
| Find all physicians in zip 97007 | |||
| City | BEAVERTON |
| Zip Code | 97007 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | BEAVERTON + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Richard D Southgate.
| 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.