Andrew D Rontal (NPI# 1063657328, PAC ID# 7911150065) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1063657328 |
| PAC ID by PECOS | 7911150065 |
| Professional Enrollment ID | I20130710000362 |
| Full Name | Andrew D Rontal |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| Address |
4101 Ne Stanton St Portland OR 97212-2959 |
| Phone Number | 4255256145 |
| Gender | M |
| Medical School | NEW YORK UNIVERSITY MEDICAL COLLEGE - NLG |
| Graduation Year | 2008 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 0345139929 |
| Number of Group Practice Members | 561 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
| 380004 | PROVIDENCE ST VINCENT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1321 Ne 99th Ave, 200 Gateway Fam and Com Me, Portland, OR 97220-9439 | 5032154250 | PROVIDENCE HEALTH AND SERVICES OREGON |
| 4101 Ne Stanton St, Portland, OR 97212-2959 | 4255256145 | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| 4101 Ne Stanton St, Portland, OR 97212-2959 | PROVIDENCE HEALTH AND SERVICES WASHINGTON | |
| 4805 Ne Glisan, Portland, OR 97213-2933 | PROVIDENCE HEALTH AND SERVICES OREGON | |
| 4805 Ne Glisan St, Portland, OR 97213-2933 | PROVIDENCE HEALTH AND SERVICES OREGON | |
| 5050 Ne Hoyt, 454 Providence Med Group, Portland, OR 97213-2984 | 5032156405 | PROVIDENCE HEALTH AND SERVICES OREGON |
| 5050 Ne Hoyt St, Portland, OR 97213-2982 | PROVIDENCE HEALTH AND SERVICES OREGON | |
| 9135 Sw Barnes Rd, Suite 461, Portland, OR 97225-6643 | 5032161150 | PROVIDENCE HEALTH AND SERVICES OREGON |
| 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 5032161234 | PROVIDENCE HEALTH AND SERVICES OREGON |
| 9205 Sw Barnes Rd, Suite 495, Portland, OR 97225-6603 | 5032161182 | PROVIDENCE HEALTH AND SERVICES OREGON |
| 9205 Sw Barnes Rd Mt, 2800 Prov Med Gr St Vince, Portland, OR 97225-6603 | 5032162621 | PROVIDENCE HEALTH AND SERVICES OREGON |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| Physicians | 1132 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Kinnard | Nurse Practitioner | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Alexander Lee Telis | Orthopedic Surgery | Providence Health and Services Washington | 820 S Mcclellan St, Suite 300, Spokane, WA 99204-2450 |
| Jodi Ann Fischer | Nurse Practitioner | Providence Health and Services Washington | 1450 Northwest Ln Se, Suite A, Lacey, WA 98503-6908 |
| Katherine Elizabeth Reynolds | Nurse Practitioner | Providence Health and Services Washington | 1212 N Pines Rd, Spokane Valley, WA 99206-4939 |
| Eugene Daniel Villacian | Nurse Practitioner | Providence Health and Services Washington | 3333 Ensign Rd Ne, Olympia, WA 98506-5012 |
| Shira Y Albert | Nurse Practitioner | Providence Health and Services Washington | 12312 E Sprague Ave, Spokane Valley, WA 99216-0720 |
| Lisa Tisch | Nurse Practitioner | Providence Health and Services Washington | 551 E Hawthorne Rd, Spokane, WA 99218-1417 |
| Natalie S Angus | Family Medicine | Providence Health and Services Washington | 931 S Market Blvd, Chehalis, WA 98532-3423 |
| Tabatha Schellenger | Nurse Practitioner | Providence Health and Services Washington | 3760 Piper St, Suite 1108, Anchorage, AK 99508-4683 |
| Callie Rose Adams | Nurse Practitioner | Providence Health and Services Washington | 212 E Central Ave, Suite 240, Spokane, WA 99208-6597 |
| Street Address |
4101 NE STANTON ST |
| City | PORTLAND |
| State | OR |
| Zip | 97212-2959 |
| 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 | |
| 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 |
| Eric L Hanson | Dermatology | Knott Street Dermatology PC | 301 Ne Knott St, Portland, OR 97212-3014 |
| Find all physicians in zip 97212 | |||
| City | PORTLAND |
| Zip Code | 97212 |
| Specialty | NEUROLOGY |
| City + Specialty | PORTLAND + NEUROLOGY |
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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.