Sean Patrick Tushla
Hospitalist

Address: 4805 Ne Glisan St, Ste Bg05, Portland, OR 97213-2933
Phone: 5032152393

Sean Patrick Tushla (NPI# 1376576983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1376576983
Entity Type Individual
Full Name Sean Patrick Tushla
Credential MD
Gender Male
Practice Address 4805 Ne Glisan St
Ste Bg05
Portland
OR 97213-2933
Practice Telephone 5032152393
Practice Fax Number 5032156918
Mailing Address Po Box 3158
Portland
OR 97208-3158
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-07-08
Last Update Date 2017-04-18

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 207R00000X Internal Medicine Allopathic & Osteopathic Physicians MD24128 OR
Yes 208M00000X Hospitalist Allopathic & Osteopathic Physicians MD24128 OR

Other Provider Identifier

State Identifier Issuer Type Code
WA 1376576983 MEDICAID
OR 234445 MEDICAID
OR P00465307 OTHER RR MEDICARE (PH&S)-PMG

Physician Overview

NPI 1376576983
PAC ID by PECOS 6608836333
Professional Enrollment ID I20041015000878
Full Name Sean P Tushla
Organization Legal Name PROVIDENCE HEALTH AND SERVICES - OREGON
Phone Number 5032167082
Gender M
Credential MD
Medical School CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1996
Primary Specialty HOSPITALIST
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 0648183608
Number of Group Practice Members 1037
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
380061 PROVIDENCE PORTLAND MEDICAL CENTER

Office Location

Street Address 4805 NE GLISAN ST
STE BG05
City PORTLAND
State OR
Zip Code 97213-2933

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255337572 John F Zurasky Psychiatry & Neurology 4805 Ne Glisan St, Ste 3g37, Portland, OR 97213-2933 2005-06-22
1588130819 Carissa Lynne Cunningham Speech-Language Pathologist 4805 Ne Glisan St, Portland, OR 97213-2933 2018-10-14
1578047858 Jennifer Marie Kurotobi Physical Therapist 4805 Ne Glisan St, Portland, OR 97213-2933 2018-09-21
1962984997 Laura Michelle Miller Occupational Therapist 4805 Ne Glisan St, Portland, OR 97213-2933 2018-09-06
1710469713 Casey Harger Physical Therapist 4805 Ne Glisan St, Portland, OR 97213-2933 2018-09-05
1093297129 Robin L Nelson Physical Therapist 4805 Ne Glisan St, Portland, OR 97213-2933 2018-09-05
1255813408 Lynn Marie Staben Occupational Therapy Assistant 4805 Ne Glisan St, Portland, OR 97213-2933 2018-09-04
1942782545 Jenny Mclawhorn Physical Therapist 4805 Ne Glisan St, Portland, OR 97213-2933 2018-08-30
1720569056 Betty Riddle Occupational Therapist 4805 Ne Glisan St, Portland, OR 97213-2933 2018-08-24
1093296584 Karen D Benjamin Occupational Therapist 4805 Ne Glisan St, Portland, OR 97213-2933 2018-08-23
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578049631 Credena Health LLC Pharmacy 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 2018-07-12
1023507795 Karissa Lynn Schwartz Speech-Language Pathologist Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 2018-05-08
1770094260 Rachel Wysocki Chiropractor 1619 Ne 42nd Ave, Portland, OR 97213 2017-10-24
1861944506 James Livingston Taylor Chiropractor 5212 Ne Sacremento St., Portland, OR 97213 2016-10-28
1962958520 Caitlin Turner Massage Therapist 4317 Ne Tillamook St., Portland, OR 97213 2016-09-01
1891155677 Carissa Marie St. Onge Carneiro Advanced Practice Midwife 545 Ne 47th Ave Ste 102, Portland, OR 97213 2016-03-07
1326407008 Julianna Vermeys Counselor 4605 Ne Fremont St., 209a, Portland, OR 97213 2016-02-23
1881059822 Thomas Michael Barrett Counselor 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 2015-12-17
1891168399 J Whiskey Northrop Acupuncturist 1716 Ne 42nd Avenue, Temple Medicine Healing, Portland, OR 97213 2015-11-05
1538545082 Jaime Ethan Biava Nurse Practitioner 5228 Ne Hoyt St Bldg B2nd, Portland, OR 97213 2015-08-07
Find all providers in zip 97213

Taxonomy Information

Taxonomy Code 208M00000X
Grouping Allopathic & Osteopathic Physicians
Classification Hospitalist

Taxonomy Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659547677 Bassel Beitinjaneh Hospitalist 4984 Sw Oleson Rd, 27, Portland, OR 97225-1462 2008-04-30
1972697522 Mark Helfand Hospitalist Portland Vamc P3med, 3710 Sw Us Veterans Hospital Road, Portland, OR 97239 2006-10-03
1558468322 Peter Damian Sullivan Hospitalist 3181 Sw Sam Jackson Park Rd # Bte119, Portland, OR 97239-3011 2006-09-20
1457461279 Thomas William Barrett Hospitalist 3710 Sw Us Va Hospital Rd, Portland Vamc (p3med), Portland, OR 97207-1034 2006-08-30
1699736645 Kerry Noelle Rhyne Hospitalist 3710 Sw Us Veterans Hospital Road, P3-med, Portland, OR 97239 2006-03-29
1205217999 Lokesh Kumar Yadav Hospitalist 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 2015-06-18
1073993069 Ivan I Biley Hospitalist 9205 Sw Barnes Rd, Mt 2800, Portland, OR 97225 2015-06-04
1932513546 Brian Tran Hospitalist 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 2014-06-12
1831509371 Stan Atkin Hospitalist 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2014-05-06
1811317944 Benjamin Mark Hornung Hospitalist 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2014-04-16
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97213

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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