SAMUEL V BARTHOLOMEW MD PC (NPI# 1205091394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205091394 |
| Entity Type | Organization |
| Organization Name | SAMUEL V BARTHOLOMEW MD PC |
| Other Organization Name | SAMUEL V BARTHOLOMEW MD |
| Practice Address |
9155 Sw Barnes Rd Suite 532 Portland OR 97225-6625 |
| Mailing Address |
3439 Ne Sandy Blvd Pmb 375 Portland OR 97232-1959 |
| Practice Telephone | 5032929737 |
| Practice Fax Number | 5032929680 |
| Mailing Telephone | 5032848841 |
| Mailing Fax Number | 5032823302 |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2008-07-28 |
| Authorized Official Name | DR. SAMUEL V BARTHOLOMEW (OWNER) |
| Authorized Official Telephone | 5032929737 |
| Authorized Official Credential | M.D., |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | MD24703 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 022461 | 05 |
| Other Name | Type Code |
|---|---|
| SAMUEL V BARTHOLOMEW MD | Doing Business As Name - Organization |
| Street Address |
9155 SW BARNES RD SUITE 532 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-6625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657052 | Nancy Lynn Spencer | Nurse Practitioner | 9155 Sw Barnes Rd, Ste 740, Portland, OR 97225-6634 | 2005-05-27 |
| 1366918518 | Emily Secter | Occupational Therapist | 9155 Sw Barnes Rd, Portland, OR 97225 | 2018-10-15 |
| 1154806479 | Nicole Kuhl | Occupational Therapist | 9155 Sw Barnes Rd, Portland, OR 97225-6625 | 2018-10-02 |
| 1497267199 | Kolten William Paryzek | Physician Assistant | 9155 Sw Barnes Rd, Portland, OR 97225-6625 | 2017-11-02 |
| 1275077463 | Carolyn Durfee | Speech-Language Pathologist | 9155 Sw Barnes Rd, East Pavilion, Portland, OR 97225-6625 | 2016-12-07 |
| 1013466549 | Kimberly Grady | Physician Assistant | 9155 Sw Barnes Rd, Suite 321, Portland, OR 97225-6625 | 2016-09-26 |
| 1811443054 | Christie Veenkamp | Speech-Language Pathologist | 9155 Sw Barnes Rd, East Pavilion - PCdi (prov Children's Devel. Institute), Portland, OR 97225-6625 | 2016-08-28 |
| 1063967628 | Suzanne Mckenzie | Speech-Language Pathologist | 9155 Sw Barnes Rd, Portland, OR 97225-6625 | 2016-08-23 |
| 1720533516 | Amanda Margolin | Dietitian, Registered | 9155 Sw Barnes Rd, Suite 161, Portland, OR 97225-6625 | 2016-08-22 |
| 1053865592 | Ashleigh B Connell | Speech-Language Pathologist | 9155 Sw Barnes Rd, Children's Development Institute, East Pavilion, Portland, OR 97225-6625 | 2016-08-13 |
| 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 | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437573185 | Portland Plastic Surgery Group, LLC | Plastic Surgery | 1200 Nw Naito Pkwy Ste 310, Portland, OR 97209-2829 | 2014-02-14 |
| 1811255250 | Richard Sean Mcnally | Plastic Surgery | 5050 Ne Hoyt St Ste 422, Portland, OR 97213 | 2012-04-23 |
| 1710140215 | Shiliang Chang | Plastic Surgery | 3303 Sw Bond Ave Ste 5, Portland, OR 97239-4501 | 2008-07-03 |
| 1770742207 | Christopher Stephen Zarella | Plastic Surgery | 501 N Graham St Ste 300, Portland, OR 97227-2008 | 2008-06-09 |
| 1871623678 | Shane Christopher Kim | Plastic Surgery | 1130 Nw 22nd Ave Ste 420, Portland, OR 97210-2995 | 2007-03-07 |
| 1922160183 | John Sukwoo Lee | Plastic Surgery | 2363 Nw Flanders St, Portland, OR 97210-3409 | 2006-12-14 |
| 1962465138 | Jennifer A Murphy | Plastic Surgery | 3181 Southwest Sam Jackson Park Rd., Ohsu, Portland, OR 97239-3098 | 2006-04-10 |
| 1811968639 | Henry Daniel Zegzula | Plastic Surgery | 1200 Nw Naito Parkway, Suite 310, Portland, OR 97209 | 2006-01-30 |
| 1982698544 | Elizabeth Jean Stone | Plastic Surgery | 646 Nw Culpepper Ter, Portland, OR 97210-3121 | 2005-09-09 |
| 1124446596 | Kai Jun Yang | Plastic Surgery | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 | 2014-04-02 |
| 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.