KATHRYN D MOYER (NPI# 1063629251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063629251 |
| Entity Type | Individual |
| Full Name | KATHRYN D MOYER |
| Other Name | KATIE D MOYER |
| Credential | M.D. |
| Practice Address |
300 N Graham St Suite 420 Portland OR 97227-1683 |
| Practice Telephone | 5032815139 |
| Practice Fax Number | 5032493782 |
| Mailing Telephone | 5032815139 |
| Mailing Fax Number | 5032493782 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2009-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
MD25836 | OR | Allopathic & Osteopathic Physicians |
| N | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
57011289 | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184919904 | Kathryn Levenduski Moyer | Pharmacist | 490 Marsh Landing Pkwy, Jacksonville Beach, FL 32250-5855 | 2011-06-09 |
| 1265593651 | Kathryn L Moyer | Obstetrics & Gynecology | 9911 W Pico Blvd, Suite 500, Los Angeles, CA 90035-2703 | 2006-12-12 |
| Street Address |
300 N GRAHAM ST SUITE 420 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227-1683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952305385 | Elise Jan Fulsang | Internal Medicine | 300 N Graham St, Suite 200, Portland, OR 97227-1683 | 2005-06-13 |
| 1598186736 | Meaghen Murphy | Social Worker | 300 N Graham St, Suite 100, Portland, OR 97227-1683 | 2013-12-13 |
| 1952669863 | Jaellah Thalberg | Genetic Counselor, MS | 300 N Graham St, Suite 100, Portland, OR 97227-1683 | 2012-04-27 |
| 1164738795 | Jennifer Carol Prunty | Optometrist | 300 N Graham St, Suite 300, Portland, OR 97227-1683 | 2010-08-20 |
| 1720311996 | Kimberly Hillis | Physical Medicine & Rehabilitation | 300 N Graham St, Suite 430, Portland, OR 97227-1683 | 2009-09-04 |
| 1710129184 | Melissa Anne Sheiko | Pediatrics | 300 N Graham St, Suite 420, Portland, OR 97227-1683 | 2009-04-01 |
| 1568623072 | Raghu U Varier | Pediatrics | 300 N Graham St, Suite 420, Portland, OR 97227-1683 | 2008-06-18 |
| 1154591519 | Steven Blake Colson | Pediatrics | 300 N Graham St, Suite 420, Portland, OR 97227-1683 | 2008-03-01 |
| 1609069525 | Patricia Anne Robertson | Obstetrics & Gynecology | 300 N Graham St, Suite 100, Portland, OR 97227-1683 | 2007-08-23 |
| 1548467129 | Northwest Pediatric Gastroenterology, LLC | Specialist | 300 N Graham St, Suite 420, Portland, OR 97227-1683 | 2007-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1851955975 | Erin Marie Staples | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 | 2019-04-24 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1730615071 | Mehran Giblin | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 | 2017-05-05 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| 1407300205 | Jenna Abernathy | Counselor | 3537 N Williams Ave, Portland, OR 97227 | 2016-08-09 |
| 1215390760 | Tanya Marie Woods | Massage Therapist | 3808 N. Williams Ave., Portland, OR 97227 | 2016-04-01 |
| 1033596853 | Eric Allen Martin | Counselor | 2054 N. Vancouver Ave, Portland, OR 97227 | 2015-04-30 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| Find all providers in zip 97227 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952439267 | Anna K Hunter | Pediatrics | 700 Sw Campus Dr, Pediatric Gastroenterology and Nutrition, Portland, OR 97239-3107 | 2007-02-28 |
| 1164823019 | Kimberly D Trieschmann | Pediatrics | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 | 2014-09-10 |
| 1770990236 | Sylvia Doan | Pediatrics | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2014-07-16 |
| 1508284068 | Dong Xi | Pediatrics | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2014-04-02 |
| 1306166038 | Gillian Lam | Pediatrics | 700 Sw Campus Dr, 7th Floor, Portland, OR 97239-3107 | 2010-06-04 |
| 1568623072 | Raghu U Varier | Pediatrics | 300 N Graham St, Suite 420, Portland, OR 97227-1683 | 2008-06-18 |
| 1588831713 | Amy Chu Tsai | Pediatrics | 9427 Sw Barnes Rd Ste 395, Portland, OR 97225-6652 | 2008-05-16 |
| 1154591519 | Steven Blake Colson | Pediatrics | 300 N Graham St, Suite 420, Portland, OR 97227-1683 | 2008-03-01 |
| 1689747362 | Kenneth Cox | Pediatrics | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2006-11-17 |
| 1811905342 | Annie Birthe Terry | Pediatrics | 707 Sw Gaines St, Cdrcp, Portland, OR 97239-2901 | 2006-08-03 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on KATHRYN D MOYER.
| 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.