DR. ARISTOMENIS THANOS (NPI# 1275820714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275820714 |
| Entity Type | Individual |
| Full Name | DR. ARISTOMENIS THANOS |
| Credential | M.D |
| Practice Address |
1040 Nw 22nd Ave Bldg 2 Portland OR 97210-3057 |
| Practice Telephone | 2482882280 |
| Mailing Telephone | (503) 413-7022 |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2017-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 181543 | OR | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
181543 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
1040 NW 22ND AVE BLDG 2 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97210-3057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891162715 | Amanda Johner | Student in an Organized Health Care Education/Training Program | 1040 Nw 22nd Ave Bldg 2, Suite 520, Portland, OR 97210-3057 | 2015-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109086 | Joseph Francolino | Massage Therapist | 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 | 2020-03-17 |
| 1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
| 1649769480 | Dipesh Patel | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 | 2018-05-08 |
| 1760987234 | Meghan Teague | Student in an Organized Health Care Education/Training Program | Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 | 2018-03-27 |
| 1205349172 | Paul M Storm | Acupuncturist | 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 | 2017-11-14 |
| 1740703750 | Audra K Berning | Massage Therapist | 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 | 2017-07-21 |
| 1720539810 | Anna-marie Elizabeth Wood | Audiologist | 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 | 2016-10-24 |
| 1659829836 | H&s Pearl, LLC | Massage Therapist | 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 | 2016-09-15 |
| 1255785796 | Cortez Natural Medicine, Inc. | Acupuncturist | 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 | 2016-04-21 |
| 1932563616 | Vincent Chen | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 | 2016-04-08 |
| Find all providers in zip 97210 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477071926 | Nelsi Inc | Ophthalmology | 11786 Sw Barnes Rd Ste 270, Portland, OR 97225-5929 | 2017-09-05 |
| 1801077128 | Retina Center of Maine, LLC Pa | Ophthalmology | 195 Fore River Pkwy Ste 480, Portland, ME 04102-2787 | 2007-11-15 |
| 1093722258 | Brandon Lujan | Ophthalmology | 3375 Sw Terwilliger Blvd, Portland, OR 97239-4146 | 2006-08-01 |
| 1265485890 | Andreas K Lauer | Ophthalmology | 3375 Sw Terwilliger Blvd, Portland, OR 97239-4146 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851860621 | Retina & Vitreous Center of Southern Oregon, PC | Ophthalmology | 3516 Excel Dr, Medford, OR 97504-9750 | 2018-11-21 |
| 1093943086 | Joshua Noren Carlson | Ophthalmology | 1518 E Barnett Rd, Medford, OR 97504-8281 | 2009-06-29 |
| 1285812123 | Oregon Retina Specialists, LLC | Ophthalmology | 1518 E Barnett Rd, Medford, OR 97504-8281 | 2008-02-02 |
| 1427048693 | Yujen Wang | Ophthalmology | 1518 E Barnett Rd, Medford, OR 97504-8281 | 2005-10-27 |
| 1659375244 | Timothy L Gard | Ophthalmology | 512 E Main St, Hillsboro, OR 97123-4137 | 2005-06-10 |
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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.