DR. MAISIE L. SHINDO


Address: 3181 Sw Sam Jackson Park Road Pv01, Portland, OR 97239
Phone: 5034942544

DR. MAISIE L. SHINDO (NPI# 1386663672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386663672
Entity Type Individual
Full Name DR. MAISIE L. SHINDO
Credential M.D.
Practice Address 3181 Sw Sam Jackson Park Road Pv01
Portland
OR 97239
Practice Telephone 5034942544
Practice Fax Number 5034944631
Mailing Telephone 5034942544
Mailing Fax Number 5034944631
Enumeration Date 2006-07-18
Last Update Date 2012-11-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology MD28632 OR Allopathic & Osteopathic Physicians
N 207Y00000X Otolaryngology 205752 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY AETNA 4638790 01
NY 01716861 05
NY EMPIRE BC.BS 01Z212 01
OR 024306 05

Office Location

Street Address 3181 SW SAM JACKSON PARK ROAD PV01
City PORTLAND
State OR
Zip Code 97239

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558979468 Elise Caitlin Esposito Student in an Organized Health Care Education/Training Program 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 2020-07-16
1750908844 Will Cowan Student in an Organized Health Care Education/Training Program 455 Sw Us Veterans Hospital Road., Portland, OR 97239 2020-07-06
1881219657 Desiree Baer Licensed Vocational Nurse Sw Us Veterans Hospital Rd, Portland, OR 97239 2020-06-08
1285266205 Melissa Irene Wheeler Registered Nurse Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 2020-02-07
1225687981 Pheba Mariam Jones Pharmacist Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 2019-09-05
1801448063 Alice Huang Huang Student in an Organized Health Care Education/Training Program 3710 Sw Veterans Road, Portland, OR 97239 2019-07-09
1710446273 Ellen Noreen Kessi Social Worker 3710 Sw Us Veterans Rd., Portland, OR 97239 2019-03-14
1508335704 Jacqueline Marie Mular Marriage & Family Therapist 5550 Sw Macadam Suite 100, Portland, OR 97239 2018-11-16
1275030926 Carly Elizabeth Dougher Student in an Organized Health Care Education/Training Program Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 2018-04-10
1780188094 Dennis John Samuel Student in an Organized Health Care Education/Training Program Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 2018-03-21
Find all providers in zip 97239

Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104289933 Ci An Gerald Tay Otolaryngology 3181 Sw Sam Jackson Park Rd, Pv01, Portland, OR 97239 2016-03-30
1922471291 Caitlin Bertelsen Otolaryngology 3303 Sw Bond Ave Ste 15, Portland, OR 97239-4501 2015-11-08
1962708578 John A Lindgren, Md PC Otolaryngology 9155 Sw Barnes Rd Ste 401, Portland, OR 97225-6631 2011-01-28
1558674861 Lucas Rein Rudmik Otolaryngology 3720 Sw Bond Ave Unit 2210, Portland, OR 97239-4577 2010-07-16
1114193448 Ryan Jeffrey Li Otolaryngology 3181 Sw Sam Jackson Park Rd # 01, Portland, OR 97239-3011 2008-05-06
1598968380 Jeremiah Andrew Alt Otolaryngology 3303 Sw Bond Ave # Ch5e, Portland, OR 97239-3098 2007-06-07
1598835688 Portland Ear Nose & Throat Otolaryngology 10535 Ne Glisan, #350, Portland, OR 97220 2006-11-08
1871674374 Suzanne Cleland Zamudio Md PC Otolaryngology 501 N. Graham, #455, Portland, OR 97227 2006-10-18
1689769028 Ericka Francine King Otolaryngology 3181 Sw Sam Jackson Park Rd. Pv-01, Portland, OR 97225 2006-10-03
1295745198 Charles Leo Kaluza Otolaryngology 2816 Se Steele St, Portland, OR 97202-4525 2006-08-09
Find all providers in PORTLAND

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City PORTLAND
Zip Code 97239

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Dataset Information

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.

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