Amer J Mirza (NPI# 1548296593, PAC ID# 1951306448) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
Nation Provider ID (NPI) | 1548296593 |
PAC ID by PECOS | 1951306448 |
Professional Enrollment ID | I20071001000024 |
Full Name | Amer J Mirza |
Address |
4103 Mercantile Dr Lake Oswego OR 97035-2556 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE |
Graduation Year | 1998 |
Primary Specialty | ORTHOPEDIC SURGERY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
380007 | LEGACY EMANUEL MEDICAL CENTER |
380004 | PROVIDENCE ST VINCENT MEDICAL CENTER |
380017 | LEGACY GOOD SAMARITAN MEDICAL CENTER |
380071 | WILLAMETTE VALLEY MEDICAL CENTER |
380089 | LEGACY MERIDIAN PARK MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
4103 Mercantile Dr, Lake Oswego, OR 97035-2556 |
Street Address |
4103 MERCANTILE DR |
City | LAKE OSWEGO |
State | OR |
Zip | 97035-2556 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tasha Stark | Physician Assistant | Summit Orthopaedics, LLP | 4103 Mercantile Dr, Lake Oswego, OR 97035-2556 |
Todd Boleyn Macleod | Physician Assistant | Summit Orthopaedics, LLP | 4103 Mercantile Dr, Lake Oswego, OR 97035-2556 |
Kristian Anthony Coats | Chiropractic | 4103 Mercantile Dr, Lake Oswego, OR 97035-2556 | |
Emma M Williams | Physician Assistant | Summit Orthopaedics, LLP | 4103 Mercantile Dr, Lake Oswego, OR 97035-2556 |
Britton A Frome | Hand Surgery | 4103 Mercantile Dr, Lake Oswego, OR 97035-2556 | |
Gabrielle L Engelhard | Physician Assistant | Summit Orthopaedics, LLP | 4103 Mercantile Dr, Lake Oswego, OR 97035-2556 |
Alexander R Christy | Physician Assistant | Summit Orthopaedics, LLP | 4103 Mercantile Dr, Lake Oswego, OR 97035-2556 |
Name | Specialty | Organization | Address |
---|---|---|---|
Marla M Klein | Dermatology | 5200 Sw Meadows Rd, Suite 250, Lake Oswego, OR 97035-0066 | |
Cynthia S Steinhauser | Clinical Social Worker | 11830 Kerr Pkwy, Suite 370, Lake Oswego, OR 97035-1228 | |
Dominique Marguerite | Psychologist, Clinical | 22 Botticelli St, Lake Oswego, OR 97035-1303 | |
Tierney Newman | Nurse Practitioner | Providence Health and Services Oregon | 4004 Kruse Way Pl, Suite 300, Lake Oswego, OR 97035-2479 |
Colleen A Finnegan | Internal Medicine | Providence Health and Services Oregon | 4004 Kruse Way Pl, Suite 300, Lake Oswego, OR 97035-2479 |
Devn Brown | Physical Therapy | Providence Health and Services Oregon | 4004 Kruse Way Pl, Suite 300, Lake Oswego, OR 97035-2479 |
Herbert H Lim | Family Medicine | Providence Health and Services Oregon | 4004 Kruse Way Pl, Suite 300, Lake Oswego, OR 97035-2479 |
Mary Beth Brown | Nurse Practitioner | Providence Health and Services Oregon | 4004 Kruse Way Pl, Suite 300, Lake Oswego, OR 97035-2479 |
Muthoni K Ehmann | Physician Assistant | Providence Health and Services Oregon | 4004 Kruse Way Pl, Suite 300, Lake Oswego, OR 97035-2479 |
Jessica A Nicoud | Registered Dietitian Or Nutrition Professional | Providence Health and Services Oregon | 4004 Kruse Way Pl, Suite 300, Lake Oswego, OR 97035-2479 |
Find all physicians in zip 97035 |
City | LAKE OSWEGO |
Zip Code | 97035 |
Specialty | ORTHOPEDIC SURGERY |
City + Specialty | LAKE OSWEGO + ORTHOPEDIC SURGERY |
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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.