PORTLAND EMERGENCY PHYSICIANS, PLLC (NPI# 1720677354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720677354 |
| Entity Type | Organization |
| Organization Name | PORTLAND EMERGENCY PHYSICIANS, PLLC |
| Practice Address | 1860 Us Highway 181 Ste C Portland TX 78374-4191 |
| Practice Telephone | 3619860911 |
| Practice Fax Number | 5128524625 |
| Mailing Address | Po Box 6040 Corpus Christi TX 78466-6040 |
| Mailing Telephone | 3617230226 |
| Mailing Fax Number | 5128524625 |
| Certification Date | 2021-01-18 |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2021-01-18 |
| Authorized Official Telephone | 3617230226 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians |
| Street Address | 1860 US HIGHWAY 181 STE C |
| City | PORTLAND |
| State | TX |
| Zip Code | 78374-4191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700407350 | Emad Banoub | Pharmacist | 1105 Hyw 181, Portland, TX 78374 | 2020-05-05 |
| 1184256893 | Rebecca Lovins | Behavior Technician | 304, Frio Dr, Portland, TX 78374 | 2020-02-11 |
| 1760962997 | Kimberly Beal · Kim Williams, Gearhart | Licensed Vocational Nurse | 201 Sabine St, Portland, TX 78374 | 2018-08-16 |
| 1134577836 | Christopher Tipton · Chris Tipton | Specialist/Technologist · Athletic Trainer | 4800 Wildcat Dr., Portland, TX 78374 | 2016-06-03 |
| 1134592629 | Coastal Bend Physicians Pllc | Clinic/Center · Emergency Care | 1860 Us Highway 181, Suite C, Portland, TX 78374 | 2015-11-05 |
| 1093191397 | Coastal Er IIi, LLC · Physicians Premier Emergency Room | Clinic/Center · Emergency Care | 1860 Highway 181 Frontage Road, Ste C, Portland, TX 78374 | 2015-08-10 |
| 1376942466 | Allen Portland Dentistry Associates Pllc | Dentist · Prosthodontics | 101 Cox Dr., Portland, TX 78374 | 2014-08-14 |
| 1699188284 | Leola Brumley | Speech-Language Pathologist | 2002 Matagorda Dr., Portland, TX 78374 | 2014-06-11 |
| 1780937607 | Erika Kristine De La Garza | Nurse Practitioner | 1702 Hwy. 181 North, Portland, TX 78374 | 2012-10-16 |
| 1538355219 | Andrew Marcus Rosendahl | Physician Assistant | 1912 Falcon Drive, Portland, TX 78374 | 2007-09-17 |
| Find all providers in zip 78374 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376074674 | Samuel B Potter | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 | |
| 1912361718 | Bryce Edwards | 3181 Sw Sam Jackson Park Road, Ohsu, Portland, OR 97239 | 2016-04-07 | |
| 1073907978 | Karen Ta | 10300 Se Main St, Portland, OR 97216 | 2015-03-27 | |
| 1104210921 | Elizabeth Hatfield | 3181 Sw Sam Jackson Park Rd # Cdw, Portland, OR 97239-3011 | 2015-03-19 | |
| 1699171918 | Stephen Boyer · Stephen Joseph Boyer | 3708 Sw Lyle Ct, Portland, OR 97221-3963 | 2014-11-13 | |
| 1679991590 | Meaghan Dehning | 3181 Sw Sam Jackson Park Rd # Em, Portland, OR 97239-3011 | 2014-03-29 | |
| 1942647185 | Jason F Hine | E1 Clairmont Ct, Portland, ME 04103-4459 | 2013-05-29 | |
| 1487900742 | Aaron Vitells | 2424 Ne 41st Ave, Portland, OR 97212-5423 | 2012-07-24 | |
| 1073870895 | Marcus Alyn Chiodo | 10000 Se Main St Ste 40, Adventist Medical Center - The Pavilion, Portland, OR 97216-2461 | 2012-04-18 | |
| 1184913147 | Jerry L Lawrence | 11705 Nw Timberview Ln, Apt 204, Portland, OR 97229-6659 | 2011-03-30 | |
| Find all providers in PORTLAND | ||||
| City | PORTLAND |
| Zip Code | 78374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568401420 | Emergency Physicians of Portland, Pllc | Emergency Medicine | 105 Redbud Dr, Portland, TN 37148-1673 | 2006-06-06 |
| 1700214855 | N Middle Tn Emergency Physicians Pllc | Emergency Medicine | 105 Redbud Dr, Portland, TN 37148-1673 | 2013-10-29 |
| 1962860064 | Red Spruce Emergency Physicians, Pllc | Physician Assistant | 105 Redbud Dr, Portland, TN 37148-1673 | 2016-02-03 |
| 1316305410 | Salient Emergency Physicians, Pllc | Physician Assistant | 105 Redbud Dr, Portland, TN 37148-1673 | 2016-02-03 |
| 1134378573 | Beaufort County Emergency Physicians Pllc | Physician Assistant | 628 E 12th St, Emergency Department, Washington, NC 27889-3409 | 2008-09-10 |
| 1942530530 | Franklin Regional Emergency Physicians Pllc | Emergency Medicine | 100 Hospital Dr, Emergency Department, Louisburg, NC 27549-2256 | 2010-01-05 |
| 1003854555 | Franklin Regional Emergency Physicians, Pllc | Emergency Medicine | 509 N Brightleaf Blvd, Emergency Department, Smithfield, NC 27577-4407 | 2006-06-04 |
| 1083837595 | Hudson Valley Emergency Physician Services, PC · Tri-State Emergency Physicians, Pllc | General Acute Care Hospital | 484 Temple Hill Rd, Suite 102, New Windsor, NY 12553-5557 | 2007-04-11 |
| 1841295904 | Henderson Emergency Physicians, Pllc | Emergency Medicine | 566 Ruin Creek Rd, Henderson Emergency Physicians, Henderson, NC 27536-2927 | 2005-06-16 |
| 1164645297 | River City Emergency Physicians, Pllc · River City Emergency Physicians, LLC | Emergency Medicine | 111 Dallas St, San Antonio, TX 78205-1201 | 2007-04-10 |
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| 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.