Jacob Abraham (NPI# 1548223381, PAC ID# 6204863541) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY.
| Nation Provider ID (NPI) | 1548223381 |
| PAC ID by PECOS | 6204863541 |
| Professional Enrollment ID | I20090826000942 |
| Full Name | Jacob Abraham |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES OREGON |
| Address |
1510 Division St Suite 100 Oregon City OR 97045-1572 |
| Phone Number | 5039621000 |
| Gender | M |
| Credential | MD |
| Medical School | JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 0648183608 |
| Number of Group Practice Members | 1163 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380004 | PROVIDENCE ST VINCENT MEDICAL CENTER |
| 381303 | PROVIDENCE SEASIDE HOSPITAL |
| 380037 | PROVIDENCE NEWBERG MEDICAL CENTER |
| 380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
| 381317 | TILLAMOOK REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 10330 Se 32nd Ave, 210 Prov Hr Cl Milwaukie, Milwaukie, OR 97222-6594 | 5039621000 | PROVIDENCE HEALTH AND SERVICES OREGON |
| 1510 Division St, Suite 100, Oregon City, OR 97045-1572 | 5039621000 | PROVIDENCE HEALTH AND SERVICES OREGON |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES OREGON |
| Physicians | 1491 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yeong Paul Park | Physical Therapy | Providence Health and Services Oregon | 1627 Woods Ct, Prov Gorg Spi/spo M, Hood River, OR 97031-2915 |
| Traci Ackron | Family Medicine | Providence Health and Services Oregon | 909 Sw 18th Ave, Prov Med Gr Spor Car, Portland, OR 97205-1705 |
| Tierney Newman | Nurse Practitioner | Providence Health and Services Oregon | 4004 Kruse Way Pl, Suite 300, Lake Oswego, OR 97035-2479 |
| Angie R Cronin | Psychologist, Clinical | Providence Health and Services Oregon | 1332 S Shasta Ave, Suite A, Eagle Point, OR 97524-8623 |
| Jennifer N Herr | Nurse Practitioner | Providence Health and Services Oregon | 4805 Ne Glisan, Portland, OR 97213-2933 |
| Jaecelle Guadiz Galeniece | Family Medicine | Providence Health and Services Oregon | 1003 Providence Dr, Suite 325, Newberg, OR 97132-7521 |
| Amelia H Baker | Family Medicine | Providence Health and Services Oregon | 4920 N Interstate Ave, Portland, OR 97217-3653 |
| Sandra Iloka | Family Medicine | Providence Health and Services Oregon | 16770 Sw Edy Rd, 102 Pmg Sherwood Imed Cr, Sherwood, OR 97140-9679 |
| Duy Quang Tran | Family Medicine | Providence Health and Services Oregon | 839 Ne Holladay St, Portland, OR 97232-3521 |
| Steven Vorenkamp | Orthopedic Surgery | Providence Health and Services Oregon | 814 13th St, Hood River, OR 97031-1210 |
| Street Address |
1510 DIVISION ST SUITE 100 |
| City | OREGON CITY |
| State | OR |
| Zip | 97045-1572 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott A Garvey | Cardiac Electrophysiology | Providence Health and Services Oregon | 1510 Division St, Suite 100, Oregon City, OR 97045-1572 |
| Amanda Allan Vandlac | Urology | Oregon Clinic PC | 1510 Division St, Suite 10, Oregon City, OR 97045-1572 |
| Katherine H Ching | General Surgery | Providence Health and Services Oregon | 1510 Division St, Suite 210, Oregon City, OR 97045-1599 |
| Darren R Jones | Cardiac Electrophysiology | Providence Health and Services Oregon | 1510 Division St, Suite 100, Oregon City, OR 97045-1572 |
| Daniel Fremont Goodwin | Cardiovascular Disease (cardiology) | Providence Health and Services Oregon | 1510 Division St, Suite 200, Oregon City, OR 97045-1599 |
| Blair D Halperin | Cardiac Electrophysiology | Providence Health and Services Oregon | 1510 Division St, Suite 100, Oregon City, OR 97045-1572 |
| Eleazar D Lawson | General Surgery | Providence Health and Services Oregon | 1510 Division St, Suite 210, Oregon City, OR 97045-1599 |
| Shannon R Ehleringer | Family Medicine | Providence Health and Services Oregon | 1510 Division St, Suite 200, Oregon City, OR 97045-1599 |
| Benjamin J Hartwig | Nurse Practitioner | Providence Health and Services Oregon | 1510 Division St, Suite 100, Oregon City, OR 97045-1572 |
| Todd A Caulfield | Interventional Cardiology | Providence Health and Services Oregon | 1510 Division St, Suite 100, Oregon City, OR 97045-1572 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Alan Singler | Chiropractic | 1900 Mcloughlin Blvd, Suite 24a, Oregon City, OR 97045-1067 | |
| Dawn M Klein | Physical Therapy | 1506 Washington St, Oregon City, OR 97045-1450 | |
| Julia B Toub | Neurology | Providence Health and Services Oregon | 1500 Division St, Oregon City, OR 97045-1527 |
| Jonathan L Schwab | Anesthesiology | Oregon Anesthesiology Group PC | 1500 Division St, Oregon City, OR 97045-1527 |
| Alexander Skog | Emergency Medicine | Emergency Medicine Specialists, LLC | 1500 Division St, Oregon City, OR 97045-1527 |
| Jason D Mauer | Interventional Pain Management | Oregon Anesthesiology Group PC | 1500 Division St, Oregon City, OR 97045-1527 |
| Ronald J Dworkin | Infectious Disease | Providence Health and Services Oregon | 1500 Division St, Oregon City, OR 97045-1527 |
| Zafar Ms Khan | Hospitalist | Providence Health and Services Oregon | 1500 Division St, Oregon City, OR 97045-1527 |
| Matthew M Evans | Neurology | Providence Health and Services Oregon | 1500 Division St, Oregon City, OR 97045-1527 |
| Julia C Timberlake | Diagnostic Radiology | Radiology Specialists of The Northwest PC | 1500 Division St, Oregon City, OR 97045-1527 |
| Find all physicians in zip 97045 | |||
| City | OREGON CITY |
| Zip Code | 97045 |
| Specialty | ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY |
| City + Specialty | OREGON CITY + ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY |
Please comment or provide details below to improve the information on Jacob Abraham.
| 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.