DR. SANDEEP GARG (NPI# 1316942238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316942238 |
| Entity Type | Individual |
| Full Name | DR. SANDEEP GARG |
| Credential | M.D. |
| Practice Address |
19260 Sw 65th Ave Ste 420 Tualatin OR 97062-5712 |
| Mailing Address |
847 Ne 19th Ave Ste 300 Portland OR 97232-2686 |
| Practice Telephone | 5036920405 |
| Practice Fax Number | 5036927978 |
| Mailing Telephone | (503) 963-2801 |
| Mailing Fax Number | 5039632825 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | MD20499 | OR | Other Service Providers |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD20499 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2022549 | 05 | |
| OR | 150287 | 05 | |
| OR | BLUE CROSS BLUE SHIELD | 804330006 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2222 Nw Lovejoy St Ste 606, Portland, OR 972105104 | 5032297554 | 5032484666 |
| 24900 Se Stark St Ste 103, Gresham, OR 970303381 | 5039071101 | 5039070177 |
| 500 N Columbia River Hwy, Saint Helens, OR 970511299 | 5032297554 | 5032484666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073630570 | Sandeep Kumar Garg | Dentist | 112 Smallwood Village Ctr, Waldorf, MD 20602-1843 | 2007-03-22 |
| 1467545566 | Sandeep A Garg | Anesthesiology | 17503 Oak Mount Pl, Suite 444, Dallas, TX 75287-7531 | 2006-10-02 |
| 1316927882 | Sandeep Garg | Internal Medicine | 4000 Highland Rd Ste 104, Waterford, Waterford, MI 48328-2163 | 2006-01-19 |
| 1376989806 | Sandeep K Garg | Radiology | 825 Fairfax Ave, Norfolk, VA 23507-1914 | 2013-05-10 |
| Street Address |
19260 SW 65TH AVE STE 420 |
| City | TUALATIN |
| State | OR |
| Zip Code | 97062-5712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376546309 | Edward Hsia0-kua Chang | Internal Medicine | 19260 Sw 65th Ave, Ste 435, Tualatin, OR 97062-5701 | 2005-05-23 |
| 1235531930 | Jeremiah C. Murphy, M.d., PC | Specialist | 19260 Sw 65th Ave, Suite 400, Tualatin, OR 97062-5701 | 2014-09-24 |
| 1154752723 | Diane Deborah Harper | Registered Nurse | 19260 Sw 65th Ave, Suite 435, Tualatin, OR 97062-5701 | 2013-12-09 |
| 1497001689 | Alison Murray Linka | Physical Therapist | 19260 Sw 65th Ave, Suite 285, Tualatin, OR 97062-5701 | 2012-07-25 |
| 1962768622 | Julia M Carr | Pediatrics | 19260 Sw 65th Ave, Suite 340, Tualatin, OR 97062-5701 | 2012-04-06 |
| 1669764924 | David Harris Delman | Psychiatry & Neurology | 19260 Sw 65th Ave, Medical Plaza Two, Suite 280, Tualatin, OR 97062-5701 | 2011-05-05 |
| 1700193885 | Erin C Clougherty | Physical Therapist | 19260 Sw 65th Ave, Suite 285, Tualatin, OR 97062-5701 | 2010-09-09 |
| 1902127368 | Laurel Bradford | Pediatrics | 19260 Sw 65th Ave, Suite 340, Tualatin, OR 97062-5701 | 2010-06-18 |
| 1356667893 | Richard A Zinke | Internal Medicine | 19260 Sw 65th Ave, Suite 435, Tualatin, OR 97062-5701 | 2010-04-08 |
| 1922332907 | Lorelei Hosmillo | Physical Therapist | 19260 Sw 65th Ave, Ste 285, Tualatin, OR 97062-5701 | 2009-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467018739 | Activeedge Tualatin, LLP | Physical Therapist | 19150 Sw 90th Avenue, Suite 200, West Linn, OR 97062 | 2019-05-13 |
| 1932607934 | Naturalways Pediatrics | Clinic/Center | 18813 Sw Martiazzi Ave, Tualatin, OR 97062 | 2018-01-25 |
| 1831646280 | Elizabeth Erin Tafesse | Behavioral Analyst | 18765 Sw Boones Ferry Rd Suite 100, Tualatin, OR 97062 | 2016-09-01 |
| 1962851311 | Ana Mercedes Cerritos-sanchez | Community Health Worker | 19355 Sw 65th Ave Apt A5, Tualatin, OR 97062 | 2016-06-07 |
| 1952759318 | William Luke Summers | Counselor | 18840 Southwest Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2016-05-26 |
| 1730536913 | Krystle Alligood | Behavioral Analyst | 18768 Sw Boones Ferry Road, Tualatin, OR 97062 | 2016-05-18 |
| 1760869739 | Oregon City Medical Nw, Inc | Clinic/Center | 6464 Sw Borland Road #d-4, Tualatin, OR 97062 | 2015-04-29 |
| 1396148904 | Tracy Filley | Clinical Nurse Specialist | 18840 Sw Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2014-09-28 |
| 1043646474 | Michelle Lords | Registered Nurse | 7668 Sw Mohawk Street, Tualatin, OR 97062 | 2013-09-17 |
| 1871930750 | Sharon Ruth Frank | Social Worker | 7668 Sw Mohawk St., Aps Healthcare, Tualatin, OR 97062 | 2013-05-31 |
| Find all providers in zip 97062 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891750329 | Daniela Samoil | Internal Medicine | 6787 Sw Wampanoag Dr Ste 240, Tualatin, OR 97062 | 2006-04-18 |
| 1760483754 | Kenneth M Leclerc | Internal Medicine | 19250 Sw 65th Ave, Suite 265, Tualatin, OR 97062 | 2005-08-02 |
| 1831194737 | Peter Frederick Banitt | Internal Medicine | 19260 Sw 65th Ave, Ste 420, Tualatin, OR 97062-5701 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982969820 | Samaritan Pacific Health Services, Inc. | Internal Medicine | 1010 Sw Coast Hwy Ste 101, Newport, OR 97365-5239 | 2012-07-06 |
| 1922362243 | Albany General Hospital | Internal Medicine | 631 Elm St Sw Ste 201, Albany, OR 97321-1952 | 2012-07-02 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1225309685 | Patrick Bergin | Internal Medicine | 1794 Sweetbriar Ln, Eugene, OR 97405-4457 | 2012-01-17 |
| 1154646610 | Theodore Allen Foster IIi | Internal Medicine | 1003 Providence Dr Ste 325, Newberg, OR 97132-7521 | 2010-03-28 |
| 1164755534 | Richard E. Romm M.d., LLC | Internal Medicine | 2082 Dogwood Dr, Eugene, OR 97405-7007 | 2009-09-16 |
| 1568699932 | Arjun K. Chagarlamudi | Internal Medicine | 777 Commercial St. Se, Suite 130, Salem, OR 97301 | 2009-06-12 |
| 1518103274 | Centennial Medical Group Inc. | Internal Medicine | 201 Nw Medical Loop Ste 190, Roseburg, OR 97471-8835 | 2008-12-31 |
| 1124281423 | Jane Tuyet Luu | Internal Medicine | 2222 Nw Lovejoy St Ste 606, Portland, OR 97210-5104 | 2008-07-07 |
| 1811192792 | Med Info Services, LLC | Internal Medicine | 348 S Pine St, Carlton, OR 97111-1228 | 2007-06-19 |
| Find all providers with the same taxonomy | ||||
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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.