TIMOTHY HOWARD HUDSON (NPI# 1164516845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164516845 |
| Entity Type | Individual |
| Full Name | TIMOTHY HOWARD HUDSON |
| Credential | M.D. |
| Practice Address |
9205 Sw Barnes Rd West Pavillion, 2nd Floor Portland OR 97225-6603 |
| Practice Telephone | 5032161880 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD00036558 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609351501 | Timothy Beauford Hudson | Nurse Practitioner | 2525b Court Dr, Gastonia, NC 28054-2140 | 2018-09-27 |
| 1770093585 | Timothy Delmar Hudson | Physical Therapist | 900 Santa Fe Dr, Encinitas, CA 92024-3919 | 2017-10-06 |
| 1487814315 | Timothy Craig Hudson | Anesthesiology | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2008-06-13 |
| 1134312895 | Timothy B Hudson | Psychiatry & Neurology | 2901 Ohio Blvd, Suite 202, Terre Haute, IN 47803-2239 | 2007-08-24 |
| 1629294988 | Timothy R Hudson | Nurse Anesthetist, Certified Registered | 1726 Shawano Ave, Green Bay, WI 54303-3216 | 2007-04-17 |
| 1497877484 | Timothy Ryan Hudson | Acupuncturist | 1201 Broad Rock Blvd, Richmond, VA 23249 | 2007-04-03 |
| 1730250325 | Timothy Roger Hudson | Physical Therapist | 2226 S Mooney Blvd, Suite A7, Visalia, CA 93277 | 2006-11-13 |
| Street Address |
9205 SW BARNES RD WEST PAVILLION, 2ND FLOOR |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-6603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326041526 | Nate D Quilici | Specialist | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2005-05-23 |
| 1487251773 | Leah Burke Chapman | Nurse Practitioner | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2020-10-08 |
| 1366054819 | Jennifer Haas Pierron | Registered Nurse | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2020-08-17 |
| 1831717974 | Steffany Bixby | Dietitian, Registered | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2020-07-06 |
| 1477174076 | Nathaniel Edwards | Student in an Organized Health Care Education/Training Program | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2020-05-05 |
| 1801417407 | Karissa Kunihira | Student in an Organized Health Care Education/Training Program | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2020-05-05 |
| 1720609324 | Jakob Feeney | Student in an Organized Health Care Education/Training Program | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2020-05-05 |
| 1710508320 | Banu Ramachandran | Student in an Organized Health Care Education/Training Program | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2020-05-05 |
| 1083235964 | Amy Pohodich | Student in an Organized Health Care Education/Training Program | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2020-05-01 |
| 1740801620 | Steven C Freeman | Student in an Organized Health Care Education/Training Program | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2020-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1124281423 | Jane Tuyet Luu | Internal Medicine | 2222 Nw Lovejoy St Ste 606, Portland, OR 97210-5104 | 2008-07-07 |
| 1467646125 | Edward A Greco Jr Md | Internal Medicine | 693 Congress Street, Portland, ME 04102 | 2007-09-05 |
| 1760692529 | Shaun Lowell Ageno | Internal Medicine | 3181 Sw Sam Jackson Park Rd # Uhn-62, Portland, OR 97239-3011 | 2007-05-23 |
| 1437269974 | Hamilton S Gillespie | Internal Medicine | 501 N Graham St Ste 200, Portland, OR 97227-2000 | 2006-08-30 |
| 1508874058 | Craig Stanford Broberg | Internal Medicine | 3181 Sw Sam Jackson Pk Rd, Uhn 62 Division of Cardiology, Portland, OR 97239 | 2006-08-03 |
| 1255348058 | George David Giraud | Internal Medicine | 3710 Sw Us Veterans Road, Portland Va Medical Center, P3 Card, Portland, OR 97207-1034 | 2006-08-02 |
| 1063445880 | Edward Greco | Internal Medicine | 693 Congress St, Portland, ME 04102-3303 | 2006-07-07 |
| 1639109044 | George Quentin Hamilton | Internal Medicine | 8305 Se Monterey Ave, #105, Portland, OR 97086-7725 | 2006-07-03 |
| 1164498499 | Jason Roland Wollmuth | Internal Medicine | 1111 Ne 99th Ave Ste 201, Portland, OR 97220-9442 | 2006-02-27 |
| 1801862255 | Nandita Chaturvedi Gupta | Internal Medicine | 3303 Sw Bond Ave Ste 9, Portland, OR 97239-4501 | 2006-02-26 |
| 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.