Emi A Koda (NPI# 1619256021, PAC ID# 5799918421) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1619256021 |
| PAC ID by PECOS | 5799918421 |
| Professional Enrollment ID | I20140829000576 |
| Full Name | Emi A Koda |
| Organization Legal Name | FAMILY MEDICAL GROUP NORTHEAST, P.C. |
| Address |
2647 Ne 33rd Ave Portland OR 97212-3647 |
| Phone Number | 5032880083 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2365430709 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330279 | MERCY HOSPITAL OF BUFFALO |
| 330078 | SISTERS OF CHARITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2647 Ne 33rd Ave, Portland, OR 97212-3647 | 5032880083 | FAMILY MEDICAL GROUP NORTHEAST, P.C. |
| Organization Legal Name | FAMILY MEDICAL GROUP NORTHEAST, P.C. |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven D Aguilu | Family Practice | Family Medical Group Northeast, P.C. | 2647 Northeast 33rd Ave, Portland, OR 97212-3647 |
| Jon F Peters | Family Medicine | Family Medical Group Northeast, P.C. | 2647 Ne 33rd Ave, Portland, OR 97212-3647 |
| Susan M Vockert-burke | Nurse Practitioner | Family Medical Group Northeast, P.C. | 2647 Ne 33rd Ave, Portland, OR 97212-3647 |
| Anne N Skinner | Family Medicine | Family Medical Group Northeast, P.C. | 2647 Ne 33rd Ave, Portland, OR 97212-3647 |
| Lonnie L Smucker | Family Medicine | Family Medical Group Northeast, P.C. | 2647 Ne 33rd Ave, Portland, OR 97212-3647 |
| Michael S Booker | Family Medicine | Family Medical Group Northeast, P.C. | 2647 Ne 33rd Ave, Portland, OR 97212-3647 |
| Street Address |
2647 NE 33RD AVE |
| City | PORTLAND |
| State | OR |
| Zip | 97212-3647 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jon F Peters | Family Medicine | Family Medical Group Northeast, P.C. | 2647 Ne 33rd Ave, Portland, OR 97212-3647 |
| Susan M Vockert-burke | Nurse Practitioner | Family Medical Group Northeast, P.C. | 2647 Ne 33rd Ave, Portland, OR 97212-3647 |
| Anne N Skinner | Family Medicine | Family Medical Group Northeast, P.C. | 2647 Ne 33rd Ave, Portland, OR 97212-3647 |
| Lonnie L Smucker | Family Medicine | Family Medical Group Northeast, P.C. | 2647 Ne 33rd Ave, Portland, OR 97212-3647 |
| Michael S Booker | Family Medicine | Family Medical Group Northeast, P.C. | 2647 Ne 33rd Ave, Portland, OR 97212-3647 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine E Kirkman | Physical Therapy | Therapeutic Associates Inc | 4040 Ne Fremont St, Portland, OR 97212-1952 |
| Caroline Hutcherson | Physical Therapy | Therapeutic Associates Inc | 4040 Ne Fremont St, Portland, OR 97212-1952 |
| Asiya Z Akhgar | Physical Therapy | Therapeutic Associates Inc | 4040 Ne Fremont St, Portland, OR 97212-1952 |
| Dawn S Whitman | Psychologist, Clinical | Western Psychological and Counseling Services PC | 3500 Ne Mlk Blvd, Suite 200, Portland, OR 97212-2093 |
| Scott Robert Kurita | Optometry | Pdx Eye and Vision Care LLC | 2480 Ne Fremont St, Portland, OR 97212-2509 |
| Christopher E Palmer | Optometry | Pdx Eye and Vision Care LLC | 2480 Ne Fremont St, Portland, OR 97212-2509 |
| Armando J Zelada | Optometry | 2480 Ne Fremont St, Portland, OR 97212-2509 | |
| Andrew D Rontal | Neurology | Providence Health and Services Washington | 4101 Ne Stanton St, Portland, OR 97212-2959 |
| Courtney L Vesely | Nurse Practitioner | Knott Street Dermatology PC | 301 Ne Knott St, Portland, OR 97212-3014 |
| Craig R Schultz | Nurse Practitioner | Knott Street Dermatology PC | 301 Ne Knott St, Portland, OR 97212-3014 |
| Find all physicians in zip 97212 | |||
| City | PORTLAND |
| Zip Code | 97212 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PORTLAND + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Emi A Koda.
| 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.