JEFFREY B MELNICK (NPI# 1245273374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245273374 |
| Entity Type | Individual |
| Full Name | JEFFREY B MELNICK |
| Credential | PA |
| Practice Address |
12442 Sw Scholls Ferry Rd Suite 100 Tigard OR 97223-3396 |
| Mailing Address |
Po Box 13994 Portland OR 97213-0994 |
| Practice Telephone | 5032159900 |
| Practice Fax Number | 5032169266 |
| Mailing Telephone | 5032156494 |
| Mailing Fax Number | 5032156644 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2007-11-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA00251 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962477364 | Jeffrey R Melnick | Pathology | 232 S Woods Mill Rd, Dept. of Pathology, St. Luke's Hospital, Chesterfield, MO 63017-3417 | 2006-02-20 |
| Street Address |
12442 SW SCHOLLS FERRY RD SUITE 100 |
| City | TIGARD |
| State | OR |
| Zip Code | 97223-3396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477902617 | Mary Kuebrich | Nurse Practitioner | 12442 Sw Scholls Ferry Rd, Tigard, OR 97223-3396 | 2016-06-08 |
| 1093135535 | Providence Health & Services - Oregon | Pediatrics | 12442 Sw Scholls Ferry Rd, Suite 205, Tigard, OR 97223-0804 | 2014-04-23 |
| 1730521311 | Melody Flannery | Physician Assistant | 12442 Sw Scholls Ferry Rd, Suite 106, Tigard, OR 97223-3396 | 2013-07-23 |
| 1841551041 | Thuy-tien Vo Pham | Internal Medicine | 12442 Sw Scholls Ferry Rd, Suite 100, Tigard, OR 97223-3396 | 2012-06-04 |
| 1699080259 | Sarah Reed | Physician Assistant | 12442 Sw Scholls Ferry Rd, Suite 100, Tigard, OR 97223-3396 | 2010-08-06 |
| 1891024907 | Mary Maher Olson | Pediatrics | 12442 Sw Scholls Ferry Rd, Suite 205, Tigard, OR 97223-3396 | 2009-12-18 |
| 1457597072 | Karla Ann Mcgee | Nurse Practitioner | 12442 Sw Scholls Ferry Rd, Suite 100, Tigard, OR 97223-3396 | 2009-01-02 |
| 1295983625 | Veronica Tiburcio-espinoza | Physician Assistant | 12442 Sw Scholls Ferry Rd, Suite 100, Tigard, OR 97223-3396 | 2008-08-27 |
| 1003019340 | Evagelia Baros | Internal Medicine | 12442 Sw Scholls Ferry Rd, Suite 106, Tigard, OR 97223-3396 | 2007-06-06 |
| 1720289283 | Maureen Matthews Gonzales | Physical Therapist | 12442 Sw Scholls Ferry Rd, 202, Tigard, OR 97223-3396 | 2007-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
| 1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
| 1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
| 1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
| 1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
| 1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
| 1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
| 1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
| Find all providers in zip 97223 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891268041 | Linh Hai Nguyen | Physician Assistant | 12230 Sw 128th Ave, Tigard, OR 97223-1865 | 2019-01-09 |
| 1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
| 1689191827 | Hannah Raines Jones | Physician Assistant | 16083 Sw Upper Boones Ferry Rd Ste 320, Tigard, OR 97224-7736 | 2017-08-28 |
| 1679913677 | Adam Sherman | Physician Assistant | 9855 Sw Peppertree Ln, Tigard, OR 97224-4787 | 2013-07-05 |
| 1831269265 | Andrew Tistadt | Physician Assistant | 18040 Sw Lower Boones Ferry Rd Ste 304, Tigard, OR 97224-7258 | 2006-11-09 |
| 1295818383 | Jennifer K. Van Atta | Physician Assistant | 15755 Sw Sequoia Pkwy Ste 200, Tigard, OR 97224-7166 | 2006-10-23 |
| 1114533072 | Geneva Ann Green | Physician Assistant | 16083 Sw Upper Boones Ferry Rd Ste 130, Tigard, OR 97224-7737 | 2020-09-16 |
| 1801451612 | Emily Ortiz | Physician Assistant | 15755 Sw Sequoia Pkwy Ste 200, Tigard, OR 97224-7166 | 2019-05-07 |
| 1306303466 | Elizabeth Marie Miller | Physician Assistant | 7421 Sw Bridgeport Rd Ste 215, Tigard, OR 97224-7707 | 2019-02-25 |
| 1699241125 | Kayla Moody | Physician Assistant | 15755 Sw Sequoia Pkwy, Tigard, OR 97224-7166 | 2018-10-23 |
| Find all providers in TIGARD | ||||
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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.