BRIDGETOWN MEDICAL GROUP P.C. (NPI# 1396177937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396177937 |
| Entity Type | Organization |
| Organization Name | BRIDGETOWN MEDICAL GROUP P.C. |
| Other Organization Name | BRIDGETOWN WOMEN'C CARE |
| Practice Address |
10000 Se Main St Suite 212 Portland OR 97216 |
| Mailing Address |
10000 Se Main St Suite 248 Portland OR 97216-2448 |
| Practice Telephone | 5032576919 |
| Mailing Telephone | 5034166510 |
| Mailing Fax Number | 5034166529 |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | LINDSAY SHAW (OFFICE MANAGER) |
| Authorized Official Telephone | 5034166510 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | MD12584 | OR | Allopathic & Osteopathic Physicians |
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
MD10669 | OR | Allopathic & Osteopathic Physicians |
| N | 176B00000X | Midwife | 076037162N5 | OR | Other Service Providers |
| Y | 207V00000X | Obstetrics & Gynecology | MD17656 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 070490 | 05 |
| Other Name | Type Code |
|---|---|
| Bridgetown Women'c Care | Doing Business As Name - Organization |
| Healthcare Specialists NW P.C. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124088679 | Bridgetown Medical Group P.C. | Obstetrics & Gynecology | 10000 Se Main St, Suite 311, Portland, OR 97216 | 2006-03-27 |
| Street Address |
10000 SE MAIN ST SUITE 212 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194729798 | Charles L Colip | Specialist | 10000 Se Main St, Ste 203, Portland, OR 97216-2442 | 2005-06-10 |
| 1538603733 | Patrick Schrank | Physician Assistant | 10000 Se Main St, Suite 224, Portland, OR 97216-2448 | 2016-12-07 |
| 1912303504 | Alexis Marie Bonfiglio | Physician Assistant | 10000 Se Main St, Suite 116, Portland, OR 97216-2448 | 2014-11-10 |
| 1790188258 | Bret Gene Ball LLC | Specialist | 10000 Se Main St, 318, Portland, OR 97216-2448 | 2014-09-29 |
| 1083967020 | Won Bahng Hwee | Physician Assistant | 10000 Se Main St, Suite 342, Portland, OR 97216-2448 | 2012-10-15 |
| 1134495567 | Aaron Benjamin Case | Emergency Medicine | 10000 Se Main St, Adventist Medical Center, Portland, OR 97216-2448 | 2012-03-29 |
| 1417232869 | Sherrie Kaye Evenson | Clinical Exercise Physiologist | 10000 Se Main St, Suite 55, Portland, OR 97216-2448 | 2011-10-17 |
| 1265768774 | Jmsp LLC | Pharmacy | 10000 Se Main St, Ste 118, Portland, OR 97216-2448 | 2009-10-19 |
| 1114179116 | Mallory Marie Mcnicholas Dotson | Physician Assistant | 10000 Se Main St, Suite 112, Portland, OR 97216-2448 | 2008-10-21 |
| 1265698252 | Kyle B Valentine | Dentist | 10000 Se Main St, Suite 20, Portland, OR 97216-2448 | 2008-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1528508520 | Damone Brown | Peer Specialist | 10209 Se Washington St, Suite D, Portland, OR 97216 | 2017-02-24 |
| 1861937237 | Malachai Investments LLC | Clinical Medical Laboratory | 10,000 Se Main St, Ste 360, Portland, OR 97216 | 2016-12-21 |
| 1881136836 | Krista Marie Darnell | Occupational Therapy Assistant | 1475, Se 100th Avenue, Portland, OR 97216 | 2016-11-08 |
| 1821456559 | Sean Kelly | Counselor | 10564 Se Washington Street, Portland, OR 97216 | 2016-02-09 |
| 1174908321 | Phil Bergland | Counselor | 11220 Se Stark St, Suite 6, Portland, OR 97216 | 2015-07-29 |
| 1134507346 | Beth Lopez | Massage Therapist | 5814 Se Stark Street, Portland, OR 97216 | 2015-05-08 |
| 1982081477 | Amelia C Hunt | Counselor | 10564 Se Washinton Street, Portland, OR 97216 | 2015-05-04 |
| 1073907978 | Karen Ta | Emergency Medicine | 10300 Se Main St, Portland, OR 97216 | 2015-03-27 |
| 1265823298 | Laura Catherine Anderson | Occupational Therapist | 1475 Se 100th Avenue, Portland, OR 97216 | 2015-02-12 |
| Find all providers in zip 97216 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215396676 | Hanalore Griffiths | Obstetrics & Gynecology | 11750 Sw Barnes Rd Ste 300, Portland, OR 97225-5911 | 2016-02-14 |
| 1487057790 | William Russell Greene | Obstetrics & Gynecology | 2239 Ne 19th Ave, Portland, OR 97212-4616 | 2014-09-30 |
| 1538587654 | Gene De Haan | Obstetrics & Gynecology | 3350 N Interstate Ave, Obstretrics and Gynecology, Portland, OR 97227-3011 | 2014-04-04 |
| 1043650682 | Tuesday Elizabeth Pearson | Obstetrics & Gynecology | 2332 Nw Irving St., Portland, OR 97210 | 2013-06-27 |
| 1760820385 | John Ogorek | Obstetrics & Gynecology | 100 Brickhill Ave Ste 23, Portland, ME 04106-1999 | 2013-06-05 |
| 1841557170 | Eleonore Pettit Werner | Obstetrics & Gynecology | 84 Marginal Way Ste 900, Portland, ME 04101-2476 | 2012-04-11 |
| 1508152026 | Kelli Andersen | Obstetrics & Gynecology | 10000 Se Main St Ste 10, Portland, OR 97216-2441 | 2011-06-22 |
| 1831494087 | Katie Alton | Obstetrics & Gynecology | 3181 Sw Sam Jackson Park Rd # Uhn50, Portland, OR 97239-3011 | 2011-01-20 |
| 1386955037 | Chidimma Uche Abanulo | Obstetrics & Gynecology | 9701 Sw Banes Rd, Suite 150, Portland, OR 97225 | 2010-06-28 |
| 1982920393 | Leo Liu Han | Obstetrics & Gynecology | 3181 Sw Sam Jackson Park Road, Mailcode: L466, Oregon Health and Science University, Portland, OR 80045 | 2010-04-09 |
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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.