KEYVAN ABTIN, MD, P.C. (NPI# 1306062005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306062005 |
| Entity Type | Organization |
| Organization Name | KEYVAN ABTIN, MD, P.C. |
| Other Organization Name | ADVANCED NEUROSURGERY SPECIALISTS, PC |
| Practice Address |
527 Se Baseline St # G Hillsboro OR 97123-4149 |
| Mailing Address |
Po Box 10605 Eugene OR 97440-2605 |
| Practice Telephone | 5039242444 |
| Mailing Telephone | 5039242444 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2013-04-17 |
| Authorized Official Name | MRS. MARCELLA SOUTHARD (ASSISTANT TO DR. KEYVAN ABTIN) |
| Authorized Official Telephone | 5039242444 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 288527 | 05 |
| Other Name | Type Code |
|---|---|
| ADVANCED NEUROSURGERY SPECIALISTS, PC | Doing Business As Name - Organization |
| Street Address |
527 SE BASELINE ST # G |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97123-4149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013975440 | Kent Guy Wilcox | Chiropractor | 527 Se Baseline St, Suite D, Hillsboro, OR 97123-4149 | 2006-05-03 |
| 1871032631 | Invigorate Injury & Integrative Medicine LLC | Acupuncturist | 527 Se Baseline St, Suite F, Hillsboro, OR 97123-4149 | 2017-02-13 |
| 1134589096 | Transitions Outpatient Treatment and Education | Clinic/Center | 527 Se Baseline St, Suite F, Hillsboro, OR 97123-4149 | 2016-03-04 |
| 1942508411 | Vanessa Sanne Rn Cfnp LLC | Clinic/Center | 527 Se Baseline St, Suite G, Hillsboro, OR 97123-4149 | 2011-03-08 |
| 1679752794 | James Robert Sohriakoff | Family Medicine | 527 Se Baseline St, Ste E, Hillsboro, OR 97123-4149 | 2007-10-25 |
| 1841499811 | Pacific Internal Medicine LLC | Preferred Provider Organization | 527 Se Baseline St, Suite G, Hillsboro, OR 97123-4149 | 2007-07-11 |
| 1194882704 | Joan Ploem Miller | Optometrist | 527 Se Baseline St, Ste B, Hillsboro, OR 97123-4149 | 2007-01-02 |
| 1437268042 | Sarah Marie Olmschenk | Optometrist | 527 Se Baseline St, Ste B, Hillsboro, OR 97123-4149 | 2006-08-29 |
| 1871503862 | Keyvan Abtin | Neurological Surgery | 527 Se Baseline St, # G, Hillsboro, OR 97123-4149 | 2006-08-09 |
| 1932123460 | James Franklin Meadows | Dentist | 527 Se Baseline St, Suite C, Hillsboro, OR 97123-4149 | 2006-07-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916241 | Gabriel Lawrence | Physical Therapist | 2973 Se 79th Ave., Hillsboro, OR 97123 | 2020-06-11 |
| 1487278453 | Jordan Gregory Evans | Student in an Organized Health Care Education/Training Program | Creighton Hall 222 Se 8th Ave, Hillsboro, OR 97123 | 2020-06-04 |
| 1124641006 | Jessica Anne Bramlett | Student in an Organized Health Care Education/Training Program | 228 Southeast 8th Avenue, Suite 536, Hillsboro, OR 97123 | 2020-05-26 |
| 1003448168 | Madelyn Vogt | Community Health Worker | 862 Se Oak Street, Suite 2a, Hillsboro, OR 97123 | 2020-02-06 |
| 1215435789 | Renise Harrel | Massage Therapist | 4855 Se Tv Hwy, Suite B, Hillsboro, OR 97123 | 2018-01-30 |
| 1497260269 | Amy Hodges | Counselor | 222 Se 8th Ave # 212, Hillsboro, OR 97123 | 2017-12-02 |
| 1033623723 | Tamira L Heyob | Doula | 25600 Sw Bald Peak Rd., Hillsboro, OR 97123 | 2017-11-17 |
| 1134644024 | Tara Kyoko Taylor | Massage Therapist | 5289 Ne Elam Young Pkwy #130, Hillsboro, OR 97123 | 2017-08-11 |
| 1023543055 | Austin Simpson | Counselor | 222 Se 8th, Suite 222, Hillsboro, OR 97123 | 2017-04-27 |
| 1124569769 | Emergency Tooth Doctor Hillsboro, Prof. Corp. | Dentist | 752 Se Oak St, Hillsboro, OR 97123 | 2017-03-15 |
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| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649495896 | David Allen Yam | Neurological Surgery | 333 Se 7th Ave Ste 4350, Hillsboro, OR 97123-4172 | 2007-04-14 |
| 1033116454 | Fred C Williams Jr. | Neurological Surgery | 1200 Ne 48th Ave, Ste 1100, Hillsboro, OR 97124-4904 | 2005-06-30 |
| 1568019073 | Alexa Ladiges | Neurological Surgery | 333 Se 7th Ave Ste 4350, Hillsboro, OR 97123-4172 | 2019-08-20 |
| 1720100753 | Hillsboro Neurosurgical Associates, PC | Neurological Surgery | 333 Se 7th Ave, Suite 4250, Hillsboro, OR 97123-4157 | 2007-04-03 |
| 1871503862 | Keyvan Abtin | Neurological Surgery | 527 Se Baseline St, # G, Hillsboro, OR 97123-4149 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063909737 | Norwyn Robert Newby | Neurological Surgery | 3054 Nw Duffy Dr, Bend, OR 97703-5485 | 2018-04-18 |
| 1447764485 | Columbia Neurosurgical Trauma, LLC | Neurological Surgery | 1040 Nw 22nd Ave Ste 630, Portland, OR 97210-3041 | 2017-11-29 |
| 1194178590 | Philippe Magown | Neurological Surgery | 3303 Sw Bond Ave # Ch8n, Department of Neurological Surgery, Ohsu, Portland, OR 97239-4501 | 2016-07-20 |
| 1922475813 | Willliam Leonard Debolt | Neurological Surgery | 7419 Nw Cornell Rd, Portland, OR 97229-6901 | 2015-08-26 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| 1366860009 | Kathryn Wagner | Neurological Surgery | 3101 Sw 13th Ave Apt 19, Portland, OR 97239-3071 | 2014-03-31 |
| 1033451265 | Greater Portland Neurosurgical Center, PC | Neurological Surgery | 24900 Se Stark St Ste 209, Gresham, OR 97030-3382 | 2013-03-26 |
| 1699038323 | James Steve Heiden | Neurological Surgery | 2496 Nw 141st Pl, Portland, OR 97229-7078 | 2012-06-18 |
| 1467725713 | Gerard Joseph Voelkers Jr. | Neurological Surgery | 130 S Drift Creek Camp Rd, Lincoln City, OR 97367-9768 | 2012-02-17 |
| 1942578026 | Nw Neurosurgery LLC | Neurological Surgery | 311 Nw 12th Ave Unit 1003, Portland, OR 97209-2995 | 2011-12-05 |
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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.