AMISH J DESAI (NPI# 1134282932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134282932 |
| Entity Type | Individual |
| Full Name | AMISH J DESAI |
| Credential | MD |
| Practice Address |
501 N Graham St., Suite 200 Portland OR 97227 |
| Mailing Address |
Po Box 3777 Portland OR 97208-3777 |
| Practice Telephone | 5034137162 |
| Practice Fax Number | 5034134711 |
| Mailing Telephone | 5034133900 |
| Mailing Fax Number | 5034133710 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2017-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD00045340 | WA | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
MD169913 | OR | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
MD00045340 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500683050 | 05 | |
| WA | 8431264 | 05 | |
| WA | 1134282932 | 05 | |
| WA | LABOR AND INDUSTRIES | 0199511 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013921758 | Amish V Desai | Dentist | 106 N River St, East Dundee, IL 60118-1331 | 2006-07-28 |
| 1912311226 | Amish Desai | Psychiatric Residential Treatment Facility | 1150 Devereux Dr, League City, TX 77573-2043 | 2014-06-13 |
| 1215202429 | Amish Harish Desai | Internal Medicine | 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 | 2012-03-21 |
| Street Address |
501 N GRAHAM ST., SUITE 200 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245235233 | David S. Peizner | Specialist | 501 N Graham St., Suite 200, Portland, OR 97227 | 2005-06-16 |
| 1841688421 | Nicholas Burnham Kinder | Nurse Practitioner | 501 N Graham St., Suite 200, Portland, OR 97227 | 2015-01-05 |
| 1437167962 | Pulla Raghuram Reddy | Internal Medicine | 501 N Graham St., Suite 200, Portland, OR 97227 | 2006-08-03 |
| 1548265457 | Ramnik S. Jhooty | Specialist | 501 N Graham St., Suite 200, Portland, OR 97227 | 2005-06-16 |
| 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 | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477994101 | Sena Kilic | Internal Medicine | 3181 Sw Sam Jackson Park Rd Fl Uhn622, Portland, OR 97239-3011 | 2013-07-10 |
| 1598994709 | Harkawal Singh Hundal | Internal Medicine | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2009-07-09 |
| 1295764504 | Greg Christian Larsen | Internal Medicine | 3710 Sw Us Veterans Hospital Rd, Cardiology Section, P-3-card, Portland, OR 97239-2964 | 2006-06-30 |
| 1366478810 | Arun Kuchela | Internal Medicine | 1040 Nw 22nd Ave, Ste. 660, Portland, OR 97210-3057 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114425493 | Cardiac Cin of Oregon LLC | Internal Medicine | 1867 Williams Hwy Ste 289, Grants Pass, OR 97527-5854 | 2018-01-31 |
| 1255455929 | Cameron A. Ramsay | Internal Medicine | 19250 Sw 65th Ave Ste 265, Tualatin, OR 97062-7747 | 2007-03-19 |
| 1114081700 | George Kubac | Internal Medicine | 2614 Clover St, Klamath Falls, OR 97601-1132 | 2006-12-20 |
| 1215978671 | Roger J. Dreiling | Internal Medicine | 1698 E Mcandrews Rd Ste 300, Medford, OR 97504-5590 | 2006-06-09 |
| 1437111507 | Northwest Cardiologists, P.C. | Internal Medicine | 333 Se 7th Ave, Suite 5200, Hillsboro, OR 97123-4157 | 2006-04-04 |
| 1114923760 | Vincent P Reyes | Internal Medicine | 349 Se 7th Ave, Hillsboro, OR 97123-4112 | 2005-06-27 |
| 1588126650 | Cor Care of Or, LLC | Internal Medicine | 1867 Williams Hwy Ste 289, Grants Pass, OR 97527-5854 | 2019-04-05 |
| 1467719641 | Ross Vimr | Internal Medicine | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2012-04-12 |
| 1932499373 | Deepika Narasimha | Internal Medicine | 2801 Nw Mercy Dr Ste 300, Roseburg, OR 97471-2348 | 2011-04-18 |
| 1265745715 | Ashraf Abusara | Internal Medicine | 2801 Nw Mercy Dr Ste 300, Roseburg, OR 97471-2348 | 2010-07-26 |
| Find all providers with the same taxonomy | ||||
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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.