DR. NICHOLAS S. FOGELSON (NPI# 1194708081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194708081 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS S. FOGELSON |
| Credential | M.D. |
| Practice Address |
140 Nw 14th Ave Portland OR 97209-2601 |
| Practice Telephone | 5037711883 |
| Practice Fax Number | 5037710438 |
| Mailing Telephone | 5037711883 |
| Mailing Fax Number | 5037710438 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2015-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 23610 | SC | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 13367 | HI | Allopathic & Osteopathic Physicians |
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
173545 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
140 NW 14TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316436785 | Nicholas Fogelson Md LLC | Obstetrics & Gynecology | 140 Nw 14th Ave, Portland, OR 97209-2601 | 2018-05-01 |
| 1821479247 | Oregon Womens Health Specialists | Obstetrics & Gynecology | 140 Nw 14th Ave, Portland, OR 97209-2601 | 2015-06-11 |
| 1235520503 | Andrew Oh Md PC | Anesthesiology | 140 Nw 14th Ave, Portland, OR 97209-2601 | 2015-02-09 |
| 1457638884 | Yale S. Popowich, M.d., P.C. | Plastic Surgery | 140 Nw 14th Ave, Portland, OR 97209-2601 | 2011-11-14 |
| 1932312766 | Andrew H Oh | Anesthesiology | 140 Nw 14th Ave, Portland, OR 97209-2601 | 2007-05-08 |
| 1386618601 | Enrique A Abreu | Anesthesiology | 140 Nw 14th Ave, Portland, OR 97209-2601 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
| 1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
| 1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| Find all providers in zip 97209 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1649775610 | Asma S. Ahmad, Md, LLC | Obstetrics & Gynecology | 4160 Sw Charming Way, Portland, OR 97225-2025 | 2018-03-29 |
| 1033323613 | Laila Raad Sillay | Obstetrics & Gynecology | 9555 Sw Barnes Rd Ste 360, Portland, OR 97225-6617 | 2007-05-10 |
| 1528181625 | Emily Christina Culbert | Obstetrics & Gynecology | 4626 Se Salmon St, Portland, OR 97215-2542 | 2007-04-06 |
| 1891831558 | Margaret J Schoeller | Obstetrics & Gynecology | 1355 Congress Street, Portland, ME 04102-2148 | 2007-01-29 |
| 1922174507 | Diana E Bell | Obstetrics & Gynecology | 9427 Sw Barnes Rd Ste 599, Portland, OR 97225-6652 | 2006-11-27 |
| 1801905534 | Virginia Jane Smith | Obstetrics & Gynecology | Kaiser Permanente Interstate Medical Office East, 3550 N Interstate Ave, Portland, OR 97227-1043 | 2006-08-29 |
| 1780697177 | Richard M Wong | Obstetrics & Gynecology | 1025 Nw Couch St Apt 612, Portland, OR 97209-4130 | 2006-08-15 |
| 1952330631 | Susan Johnson, Md LLC | Obstetrics & Gynecology | 2209 Lloyd Ctr, Portland, OR 97232-1315 | 2006-07-03 |
| 1922034115 | Laura A Korman | Obstetrics & Gynecology | 2250 Nw Flanders Street, Suite 205, Portland, OR 97210-5410 | 2006-06-23 |
| 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.