Kathryn G Kolonic (NPI# 1598909558, PAC ID# 2860645538) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1598909558 |
| PAC ID by PECOS | 2860645538 |
| Professional Enrollment ID | I20130104000462 |
| Full Name | Kathryn G Kolonic |
| Organization Legal Name | ADVANCED INTERNAL MEDICINE GROUP PC |
| Address |
18603 Willamette Dr West Linn OR 97068-1705 |
| Phone Number | 5039081590 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 7214235258 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
| 380038 | PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER |
| 380089 | LEGACY MERIDIAN PARK MEDICAL CENTER |
| 380004 | PROVIDENCE ST VINCENT MEDICAL CENTER |
| 380082 | PROVIDENCE MILWAUKIE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 18603 Willamette Dr, West Linn, OR 97068-1705 | 5039081590 | ADVANCED INTERNAL MEDICINE GROUP PC |
| Organization Legal Name | ADVANCED INTERNAL MEDICINE GROUP PC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill E Miller | Internal Medicine | Advanced Internal Medicine Group PC | 9555 Sw Barnes Rd, Suite 255, Portland, OR 97225-6654 |
| Thomas G Gragnola | Internal Medicine | Advanced Internal Medicine Group PC | 9555 Sw Barnes Rd, Suite 255, Portland, OR 97225-6654 |
| Catheryne Leon | Nurse Practitioner | Advanced Internal Medicine Group PC | 2200 Northern Blvd, Suite 133, Greenvale, NY 11548-1226 |
| Filippa Petruccelli | Nurse Practitioner | Advanced Internal Medicine Group PC | 2200 Northern Blvd, Suite 133, Greenvale, NY 11548-1226 |
| Alexander Roth | Internal Medicine | Advanced Internal Medicine Group PC | 2200 Northern Blvd, Suite 133, Greenvale, NY 11548-1226 |
| Leon E Schwechter | Internal Medicine | Advanced Internal Medicine Group PC | 2200 Northern Blvd, Suite 133, Greenvale, NY 11548-1226 |
| Erin K Morrissey | Nurse Practitioner | Advanced Internal Medicine Group PC | 2200 Northern Blvd, Suite 133, Greenvale, NY 11548-1226 |
| Jennifer M. Oneill | Nurse Practitioner | Advanced Internal Medicine Group PC | 2200 Northern Blvd, Suite 133, Greenvale, NY 11548-1226 |
| Javier Morales | Internal Medicine | Advanced Internal Medicine Group PC | 2200 Northern Blvd, Suite 133, Greenvale, NY 11548-1226 |
| Malcolm L Mcaninch | Internal Medicine | Advanced Internal Medicine Group PC | 9555 Sw Barnes Rd, Suite 255, Portland, OR 97225-6654 |
| Street Address |
18603 WILLAMETTE DR |
| City | WEST LINN |
| State | OR |
| Zip | 97068-1705 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mindi L Robinson | Family Medicine | West Linn Family Health Center | 18380 Willamette Dr, Suite 202, West Linn, OR 97068-1200 |
| Farnaz Dana Fakhari | Dermatology | 18380 Willamette Dr, Suite 201, West Linn, OR 97068-1200 | |
| Ryan G Scott | Family Medicine | West Linn Family Health Center | 18380 Willamette Dr, Suite 202, West Linn, OR 97068-1200 |
| David B Farley | Family Medicine | West Linn Family Health Center | 18380 Willamette Dr, Suite 202, West Linn, OR 97068-1200 |
| Joyce S Endo | Family Medicine | West Linn Family Health Center | 18380 Willamette Dr, Suite 202, West Linn, OR 97068-1200 |
| Janet D Thompson | Chiropractic | 18813 Willamette Dr, West Lynn, OR 97068-1711 | |
| Sonjia Michaels | Chiropractic | 18813 Willamette Dr, West Linn, OR 97068-1711 | |
| Huey J Meeker | Internal Medicine | 18670 Willamette Dr, Suite 101, West Linn, OR 97068-1796 | |
| Victoria L Bryson | Physical Therapy | Therapeutic Associates Inc | 19129 Willamette Dr, West Linn, OR 97068-2019 |
| Christopher J Morgan | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 3800 Ridge Ln, West Linn, OR 97068-2956 |
| Find all physicians in zip 97068 | |||
| City | WEST LINN |
| Zip Code | 97068 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | WEST LINN + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Kathryn G Kolonic.
| 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.