MS. AMY SMITH (NPI# 1174583264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174583264 |
| Entity Type | Individual |
| Full Name | MS. AMY SMITH |
| Other Name | AMY SCHLANGEN |
| Credential | PA |
| Practice Address |
501 N Graham Ste 580 Portland OR 97227-2003 |
| Practice Telephone | 5035280704 |
| Practice Fax Number | 5035280708 |
| Mailing Telephone | 5035280704 |
| Mailing Fax Number | 5035280708 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA00947 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | MS1044089 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679171185 | Amy Christine Smith | Clinical Nurse Specialist | 5901 Bowen Daniel Dr Unit 107, Tampa, FL 33616-1454 | 2020-10-16 |
| 1083211080 | Amy Elizabeth Smith | Registered Nurse | 783 Augusta Dr, Moraga, CA 94556-1007 | 2020-10-03 |
| 1316569551 | Amy Smith | Speech-Language Pathologist | 8313 E Alsea Hwy, Tidewater, OR 97390-9712 | 2020-05-11 |
| 1740801232 | Amy Smith | Nutritionist | 851 French Moore Jr Blvd Ste 135, Abingdon, VA 24210-4706 | 2020-05-06 |
| 1497393243 | Amy Dawn Smith | Peer Specialist | 1713 Clarke St, Ponca City, OK 74601-2912 | 2019-12-11 |
| 1326600438 | Amy Smith | Counselor | 1319 Hazelwood Dr, Allen, TX 75002-0800 | 2019-06-28 |
| 1124589171 | Amy Smith | Occupational Therapist | 3 Wootton Rd, Essex Fells, NJ 07021-1116 | 2019-03-30 |
| 1548736937 | Amy Marie Smith | Acupuncturist | 1121 W Prospect Rd Ste B, Fort Collins, CO 80526-5623 | 2018-10-23 |
| 1871074088 | Amy Elizabeth Smith | Speech-Language Pathologist | 11266 Taylor Draper Ln Apt 2613, Austin, TX 78759-3973 | 2018-08-25 |
| 1851884472 | Amy Smith | Counselor | 16979 W. 94th Street, Lenexa, KS 66219 | 2018-06-08 |
| Street Address |
501 N GRAHAM STE 580 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227-2003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598735490 | William Broughton Long IIi | Surgery | 501 N Graham, Suite # 580, Portland, OR 97227 | 2006-01-24 |
| 1972750669 | J Rafe Sales, Md PC | Specialist | 501 N Graham, Suite 250, Portland, OR 97227 | 2008-08-25 |
| 1639261142 | Everywomans Health PC | Obstetrics & Gynecology | 501 N Graham, #445, Portland, OR 97227-2002 | 2006-09-29 |
| 1003926189 | Peter H Chang | Pediatrics | 501 N Graham, Suite 220, Portland, OR 97227-2014 | 2006-08-30 |
| 1962461442 | Scott P Sherry | Physician Assistant | 501 N Graham, Ste 580, Portland, OR 97227-2003 | 2006-03-22 |
| 1134197213 | Duane A Burroughs | Internal Medicine | 501 N Graham, #100, Portland, OR 97227 | 2006-03-14 |
| 1588635437 | Ameen Ishak Ramzy | Surgery | 501 N Graham, Suite 580, Portland, OR 97227 | 2006-01-30 |
| 1659342509 | Kelly Dean Gubler | Surgery | 501 N Graham, Suite #580, Portland, OR 97227 | 2006-01-30 |
| 1326018953 | Andrew Jacob Michaels | Surgery | 501 N Graham, Suite 580, Portland, OR 97227 | 2006-01-25 |
| 1558331363 | Seth David Izenberg | Surgery | 501 N Graham, Suite #580, Portland, OR 97227 | 2006-01-24 |
| 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 | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1396250122 | Saron Theresa Sufuentes | Physician Assistant | 578 Nw Marlborough Ave, Portland, OR 97210-3104 | 2017-12-01 |
| 1952775520 | Lauren Govier | Physician Assistant | 501 N Graham St Ste 415, Portland, OR 97227-2006 | 2015-11-19 |
| 1619346368 | Ryan Mcmahon | Physician Assistant | 3415 Ne 20th Ave, Portland, OR 97212-2416 | 2015-09-23 |
| 1881090033 | Sanja Bukarac | Physician Assistant | 20 Buca Run, Portland, ME 04103-1427 | 2014-11-17 |
| 1194130716 | Nicole Lessard | Physician Assistant | 27 Bramhall St, Portland, ME 04102 | 2014-06-23 |
| 1528499910 | Elan Kennedy | Physician Assistant | 3181 Sw Sam Jackson Park Rd., Mail Code L353, Ohsu, Division of Cardiothoracic Surgery, Portland, OR 97239 | 2013-12-10 |
| 1013161405 | Lorraine Walburga Gohman | Physician Assistant | 9155 Sw Barnes Rd Ste 440, Portland, OR 97225-6631 | 2008-11-11 |
| 1841472065 | Mandy Melissa Williams | Physician Assistant | 265 N Broadway, Portland, OR 97227-1800 | 2007-11-29 |
| 1063612455 | Donald R Noel | Physician Assistant | 10101 Se Main St Ste 3008, Portland, OR 97216-2458 | 2007-07-23 |
| 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.