DR. SCOTT KEOLA MIYAKE (NPI# 1013022425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013022425 |
| Entity Type | Individual |
| Full Name | DR. SCOTT KEOLA MIYAKE |
| Credential | M.D. |
| Practice Address |
6902 Se Lake Rd Ste 100 Milwaukie OR 97267-2148 |
| Practice Telephone | 5037861167 |
| Practice Fax Number | 5037861153 |
| Mailing Telephone | 5037861167 |
| Mailing Fax Number | 5037861153 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2010-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
MD00045274 | WA | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
MD24235 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
6902 SE LAKE RD STE 100 |
| City | MILWAUKIE |
| State | OR |
| Zip Code | 97267-2148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144201807 | Northwest Psychological Center, P.C. | Psychologist | 6902 Se Lake Rd, 202, Milwaukie, OR 97267-2148 | 2005-11-09 |
| 1275070690 | Anahata Medicine | Acupuncturist | 6902 Se Lake Rd, Ste 203, Milwaukie, OR 97267-2148 | 2017-01-24 |
| 1700337870 | Kaiser Foundation Health Plan of The Northwest | General Practice | 6902 Se Lake Rd, Suite 100, Milwaukie, OR 97267-2148 | 2016-10-24 |
| 1427487628 | Timothy Pavlatos | Counselor | 6902 Se Lake Rd, Suite 202, Milwaukie, OR 97267-2148 | 2013-11-07 |
| 1366879827 | Hyon Mi Kim | Dental Hygienist | 6902 Se Lake Rd, Milwaukie, OR 97267-2148 | 2013-09-30 |
| 1922386895 | Mindy Tseng | Internal Medicine | 6902 Se Lake Rd, Suite 100, Milwaukie, OR 97267-2148 | 2011-07-26 |
| 1881902682 | Anh T Le | Dentist | 6902 Se Lake Rd, Suite 200, Milwaukie, OR 97267-2148 | 2010-09-15 |
| 1235467234 | Eeva S Gray | Dietitian, Registered | 6902 Se Lake Rd, Suite 100, Milwaukie, OR 97267-2148 | 2009-12-02 |
| 1417282682 | Lois Amy Tobin | Dietitian, Registered | 6902 Se Lake Rd, Suite 302, Milwaukie, OR 97267-2148 | 2009-10-06 |
| 1265684955 | David Gregory Pleiman | Health Maintenance Organization | 6902 Se Lake Rd, Suite 100, Milwaukie, OR 97267-2148 | 2008-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851911036 | Michelle Renee Gilham | Massage Therapist | 16560 S.e. 80th Ave, Portland Or 97267, 19650 Se 80th Ave, Portland, OR 97267 | 2020-04-17 |
| 1629557442 | Benchmark Physical Therapy of Or, LLC | Occupational Therapist | 14874 Se Webster Rd, Milwaukie, OR 97267 | 2018-08-13 |
| 1326541764 | Theresa Elaine Day | Massage Therapist | 2080 Se Oak Grove Blvd Ste 16, Portland, OR 97267 | 2018-03-12 |
| 1881015378 | Kathryn Louise Engstrom | Registered Nurse | 6901 Se Lake Road, Portland, OR 97267 | 2013-12-30 |
| 1285951293 | Eliza Ann Rowley | Acupuncturist | 2080 Se Oak Grove Blvd #9, Milwaukie, OR 97267 | 2010-04-29 |
| 1346438124 | Rx Direct Inc | Pharmacy | 16246 Se Mcloughlin, Milwaukie, OR 97267 | 2007-10-05 |
| 1477740827 | Olson Drug, Inc | Durable Medical Equipment & Medical Supplies | 16244 Se Mcloughlin Blvd, Milwaukie, OR 97267 | 2007-10-01 |
| 1831308451 | Jeannie Marie Baer | Massage Therapist | 16705 Se Mcloughlin, Milwaukie, OR 97267 | 2007-05-21 |
| 1902923667 | Matthew William Krueger | Specialist/Technologist | 4950 Se Roethe Rd., Milwaukie, OR 97267 | 2007-03-26 |
| 1316084049 | Renee' Lorena Raschke | Counselor | 17070se Mcloughlin Blvd., Milwaukie, OR 97267 | 2007-01-31 |
| Find all providers in zip 97267 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679665327 | Susan M Kauffman | Internal Medicine | 6902 Se Lake Road, Ste 100, Milwaukie, OR 97267-7267 | 2006-09-29 |
| 1891801429 | Pei-li Wang | Internal Medicine | 6902 Se Lake Rd Ste 100, Milwaukie, OR 97267-2148 | 2006-08-23 |
| 1922386895 | Mindy Tseng | Internal Medicine | 6902 Se Lake Rd, Suite 100, Milwaukie, OR 97267-2148 | 2011-07-26 |
| 1093835332 | Leah A Swetnam | Internal Medicine | 6902 Se Lake Rd, Milwaukie, OR 97267-2148 | 2007-03-30 |
| 1821106410 | Christopher Owen Thomas | Internal Medicine | 6902 Se Lake Rd Ste 100, Milwaukie, OR 97267-2148 | 2006-08-25 |
| 1306959127 | Cathryn Lee Wise | Internal Medicine | 6902 Se Lake Rd, Suite 100, Milwaukie, OR 97267-2148 | 2006-08-16 |
| 1912010893 | Micah Laurence Thorp | Internal Medicine | 6902 Se Lake Rd, Milwaukie, OR 97267-2148 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396378717 | Northwest Renal Clinic, Inc. | Internal Medicine | 925 Commercial St Se Ste 110, Salem, OR 97302-4172 | 2020-02-13 |
| 1477962694 | Centennial Medical Group Inc. | Internal Medicine | 2460 Nw Stewart Pkwy Ste 102, Roseburg, OR 97471-1516 | 2014-08-13 |
| 1528487527 | Janie Luong | Internal Medicine | 10201 Se Main St Ste 27, Portland, OR 97216-2937 | 2014-04-08 |
| 1386074953 | David Alan Mccarron | Internal Medicine | 120 Nw 9th Ave, Suite 206, Portland, OR 97209-3324 | 2013-11-19 |
| 1578859849 | Thuy Xuan Le | Internal Medicine | 1040 Nw 22nd Ave Ste 480, Portland, OR 97210-3062 | 2011-06-24 |
| 1427348150 | Mark Nguyen | Internal Medicine | 1130 Nw 22nd Ave Ste 640, Portland, OR 97210-2993 | 2011-04-14 |
| 1720377039 | Robert Whitney Rope | Internal Medicine | 3181 Sw Sam Jackson Park Rd Mc Sjh6, Portland, OR 97239-3011 | 2011-04-07 |
| 1578707451 | Kate Schoolwerth Gustafson | Internal Medicine | 3710 Sw Us Veterans Hospital Rd # P3neph, Portland, OR 97239-2964 | 2009-04-23 |
| 1174777973 | Tricia Noelle Jesperson | Internal Medicine | 5050 Ne Hoyt St Ste B54, Portland, OR 97213 | 2008-11-06 |
| 1861677825 | Apolonia G. Silva | Internal Medicine | 6736 Ne Killingsworth Street La Clinica De Buena Salud, Portland, OR 97218-3338 | 2008-01-08 |
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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.