JORDI X KELLOGG MD PC (NPI# 1114106192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114106192 |
| Entity Type | Organization |
| Organization Name | JORDI X KELLOGG MD PC |
| Practice Address |
9200 Se 91st Ave Suite 340 Portland OR 97086-3756 |
| Practice Telephone | 5032561462 |
| Practice Fax Number | 5032579523 |
| Mailing Telephone | 5032561462 |
| Mailing Fax Number | 5032579523 |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2014-03-20 |
| Authorized Official Name | JORDI X KELLOGG (OWNER) |
| Authorized Official Telephone | 5032561462 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | MD22765 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
9200 SE 91ST AVE SUITE 340 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97086-3756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891119947 | Haruka Swendsen Snow | Surgery | 9200 Se 91st Ave, Suite 320, Portland, OR 97086-3756 | 2014-02-10 |
| 1841629664 | Radiology Specialists of Portland, LLC | Radiology | 9200 Se 91st Ave, Suite 330, Portland, OR 97086-3756 | 2013-11-02 |
| 1861649675 | Mt. Scott Sleep Medicine, Inc. | Clinic/Center | 9200 Se 91st Ave, Suite 240, Portland, OR 97086-3756 | 2008-08-22 |
| 1689891210 | Chloe Anne Sandquist | Surgery | 9200 Se 91st Ave, Suite 320, Portland, OR 97086-3756 | 2007-04-18 |
| 1033236724 | Stephanie Rufener | Radiology | 9200 Se 91st Ave, Suite 330, Portland, OR 97086-3756 | 2007-03-26 |
| 1609914605 | Portland Surgical Specialists, PC | Surgery | 9200 Se 91st Ave, #320, Portland, OR 97086 | 2007-02-02 |
| 1952459190 | A P Aversano | Psychiatry & Neurology | 9200 Se 91st Ave, Portland, OR 97266-6756 | 2007-01-06 |
| 1629168646 | John Stephen Domreis | Surgery | 9200 Se 91st Ave, 320, Portland, OR 97086-6756 | 2006-10-13 |
| 1730274168 | Thomas Richard Eubanks | Surgery | 9200 Se 91st Ave, Ste 320, Portland, OR 97086-6756 | 2006-10-03 |
| 1386754398 | Eastmoreland Ear, Nose & Throat, Clinic, LLP | Internal Medicine | 9200 Se 91st Ave, Suite 200, Portland, OR 97266-6756 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063803674 | Brandy Lynn Sajovic | Case Manager/Care Coordinator | 10822 Se 82nd Ave., Suite K, Happy Valley, OR 97086 | 2015-02-18 |
| 1851795561 | Tyler Lundquist | Chiropractor | 16144 Se Happy Valley Town Center Dr #214, Happy Valley, OR 97086 | 2014-10-09 |
| 1184040644 | Rui O'reilly | Massage Therapist | 10911 Se Alyssa Dr, Happy Valley, OR 97086 | 2014-03-07 |
| 1083036990 | Laura Dillard | Registered Nurse | 10822 Se 82nd Ave, Happy Valley, OR 97086 | 2014-01-11 |
| 1699027672 | Clackamas Town Dental, LLC | Dentist | 9225 Se Sunnyside Road, Clackamas, OR 97086 | 2012-10-15 |
| 1750639233 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 11800 Se 82nd Avenue, Happy Valley, OR 97086 | 2012-08-15 |
| 1962641654 | Mt Scott Vision and Ocular Imaging Center PC | Optometrist | 9300 Ne 91st Ave, Suite 100, Happy Valley, OR 97086 | 2009-02-19 |
| 1598916546 | Cynthia Sue Weaver | Nurse Practitioner | 9300 Se 91 Ave., Suite 400, Portland, OR 97086 | 2008-10-08 |
| 1396928776 | Cary Ann Fardal | Dietitian, Registered | 13444 Se Piper Dr, Happy Valley, OR 97086 | 2007-12-09 |
| 1689873242 | New Seasons Market - Happy Valley | Pharmacy | 15861 Se Happy Valley Town Center Dr., Happy Valley, OR 97086 | 2007-07-13 |
| Find all providers in zip 97086 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447764485 | Columbia Neurosurgical Trauma, LLC | Neurological Surgery | 1040 Nw 22nd Ave Ste 630, Portland, OR 97210-3041 | 2017-11-29 |
| 1194178590 | Philippe Magown | Neurological Surgery | 3303 Sw Bond Ave # Ch8n, Department of Neurological Surgery, Ohsu, Portland, OR 97239-4501 | 2016-07-20 |
| 1922475813 | Willliam Leonard Debolt | Neurological Surgery | 7419 Nw Cornell Rd, Portland, OR 97229-6901 | 2015-08-26 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| 1366860009 | Kathryn Wagner | Neurological Surgery | 3101 Sw 13th Ave Apt 19, Portland, OR 97239-3071 | 2014-03-31 |
| 1699038323 | James Steve Heiden | Neurological Surgery | 2496 Nw 141st Pl, Portland, OR 97229-7078 | 2012-06-18 |
| 1942578026 | Nw Neurosurgery LLC | Neurological Surgery | 311 Nw 12th Ave Unit 1003, Portland, OR 97209-2995 | 2011-12-05 |
| 1306005319 | Hatem Adel Sabry | Neurological Surgery | 3181 Sw Sam Jackson Park Rd # L579, Portland, OR 97239-3011 | 2008-06-04 |
| 1639374440 | Frederick T Waller Md PC | Neurological Surgery | 9155 Sw Barnes Rd Ste 211, Portland, OR 97225-6629 | 2007-06-20 |
| 1356550206 | Ahmed M. Raslan | Neurological Surgery | 3181 Sw Sam Jackson Road, Portland, OR 97239 | 2007-05-21 |
| Find all providers in PORTLAND | ||||
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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.