DR. MICHAEL ERIC BALKOVICH (NPI# 1134296791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134296791 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL ERIC BALKOVICH |
| Credential | MD |
| Practice Address |
5050 Ne Hoyt St Suite 515 Portland OR 97213-2991 |
| Practice Telephone | 5032367743 |
| Practice Fax Number | 5032367031 |
| Mailing Telephone | 5032367743 |
| Mailing Fax Number | 5032367031 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2016-12-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
MD13984 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 221762 | 05 |
| Street Address |
5050 NE HOYT ST SUITE 515 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97213-2991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558364570 | Bruce Wilson Dana | Internal Medicine | 5050 Ne Hoyt St, Ste 256, Portland, OR 97213-2982 | 2005-05-23 |
| 1780136242 | Crystal Marie Rodriguez | Physician Assistant | 5050 Ne Hoyt St, Suite 240, Portland, OR 97213-2991 | 2016-11-01 |
| 1558810820 | Janina Browne | Physician Assistant | 5050 Ne Hoyt St, 454, Portland, OR 97213-2991 | 2016-09-28 |
| 1285181974 | Lena Soo Hee Wood | Advanced Practice Midwife | 5050 Ne Hoyt St, Suite 353, Portland, OR 97213-2991 | 2016-09-09 |
| 1780131532 | Hayley M Cusick | Physician Assistant | 5050 Ne Hoyt St, Suite 511, Portland, OR 97213-2991 | 2016-09-08 |
| 1801249164 | Lauren Berman | Speech-Language Pathologist | 5050 Ne Hoyt St, #315, Portland, OR 97213 | 2016-07-21 |
| 1457709123 | Emily C. Nguyen, M.d., P.C. | Specialist | 5050 Ne Hoyt St, Suite 611, Portland, OR 97213-2991 | 2016-06-02 |
| 1356798086 | Bryce Beard | Student in an Organized Health Care Education/Training Program | 5050 Ne Hoyt St, Ste 540, Portland, OR 97213-2991 | 2016-05-23 |
| 1619324340 | Monica Johnson | Student in an Organized Health Care Education/Training Program | 5050 Ne Hoyt St, Ste 540, Portland, OR 97213-2991 | 2016-05-23 |
| 1184071813 | Rahwa Shumet Ghebremichael | Student in an Organized Health Care Education/Training Program | 5050 Ne Hoyt St, Ste 540, Portland, OR 97213-2991 | 2016-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
| 1336775907 | Redpoint Physical Therapy and Performance LLC | Physical Therapist | 4200 Ne Flanders St Unit B, Portland, OR 97213 | 2020-03-16 |
| 1801431218 | Denise Dorgan-miller | Occupational Therapy Assistant | Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 | 2019-11-08 |
| 1619435617 | Aspiration of Character Counseling Services, LLC | Counselor | 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 | 2019-03-08 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1023507795 | Karissa Lynn Schwartz | Speech-Language Pathologist | Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 | 2018-05-08 |
| 1861944506 | James Livingston Taylor | Chiropractor | 5212 Ne Sacremento St., Portland, OR 97213 | 2016-10-28 |
| 1962958520 | Caitlin Turner | Massage Therapist | 4317 Ne Tillamook St., Portland, OR 97213 | 2016-09-01 |
| 1326407008 | Julianna Vermeys | Counselor | 4605 Ne Fremont St., 209a, Portland, OR 97213 | 2016-02-23 |
| 1881059822 | Thomas Michael Barrett | Counselor | 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 | 2015-12-17 |
| Find all providers in zip 97213 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346266368 | Marcus W Melvin | Surgery | 9200 Sw Barnes Rd, Portland, OR 97225-6624 | 2006-07-14 |
| 1699286468 | Alvin Annen | Surgery | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2017-10-19 |
| 1174722201 | Plastic Surgery Ctr Pa | Surgery | 222 St John St, Ste 321, Portland, ME 04102 | 2007-07-18 |
| 1194929661 | Hemangini J. Thakar | Surgery | 3303 Sw Bond Ave, Suite 5, Portland, OR 97239-4501 | 2007-06-11 |
| 1396867719 | Rachel E Streu | Surgery | 9775 Sw Wilshire St, Suite 200, Portland, OR 97225-5067 | 2007-04-05 |
| 1831270545 | Richard Hector Bensimon | Surgery | 120 Nw 14th Ave, Suite 200, Portland, OR 97209 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023530094 | Northwest Surgical Development | Surgery | 17885 Nw Evergreen Pkwy, Beaverton, OR 97006-7494 | 2017-07-12 |
| 1376733212 | Austin George Hayes | Surgery | 18650 Nw Cornell Rd Ste 324, Hillsboro, OR 97124 | 2007-07-26 |
| 1003980889 | James A Kilgore | Surgery | 19250 Sw 65th Ave #365, Tualatin, OR 97062 | 2006-11-20 |
| 1295187482 | Timothy P Connall Md PC | Surgery | 19801 Sw 72nd Ave, Suite 160, Tualatin, OR 97062-8351 | 2016-07-12 |
| 1447610803 | Bend Plastic & Reconstructive Surgery, P.C. | Surgery | 431 Ne Revere Ave, Ste. 200, Bend, OR 97701-4189 | 2016-02-28 |
| 1477973105 | Christopher Nicholas Stewart | Surgery | 330 S Garden Way Ste 100, Eugene, OR 97401-8177 | 2014-04-21 |
| 1023455490 | Sharon Elaine Monsivais | Surgery | 1900 Woodland Dr, Coos Bay, OR 97420-2099 | 2013-05-26 |
| 1033435672 | Matthew William Lewis | Surgery | 330 S Garden Way, Eugene, OR 97401-8176 | 2010-04-07 |
| 1861677635 | Charles R Starr, Md | Surgery | 550 22nd St, Astoria, OR 97103-3312 | 2007-12-29 |
| 1336333830 | Timothy Patrick Connall | Surgery | 19801 Sw 72nd Ave, Suite 160, Tualatin, OR 97062-8351 | 2007-08-28 |
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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.