ERIC EUGENE SWIRIDOFF (NPI# 1467456053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467456053 |
| Entity Type | Individual |
| Full Name | ERIC EUGENE SWIRIDOFF |
| Credential | MD |
| Practice Address |
36860 Industrial Way Sandy OR 97055-7371 |
| Practice Telephone | 5038260206 |
| Practice Fax Number | 5038260216 |
| Mailing Telephone | 5038260206 |
| Mailing Fax Number | 5038260216 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2011-02-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD18643 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 059092 | 05 |
| Street Address |
36860 INDUSTRIAL WAY |
| City | SANDY |
| State | OR |
| Zip Code | 97055-7371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053840330 | Tara Pfaff | Nurse Practitioner | 36860 Industrial Way, Sandy, OR 97055 | 2017-06-08 |
| 1710354576 | Kristin M Hart | Pharmacist | 36860 Industrial Way, Sandy, OR 97055-7371 | 2015-08-27 |
| 1730472192 | Legacy Clinics LLC | Clinic/Center | 36860 Industrial Way, Sandy, OR 97055-7371 | 2011-05-18 |
| 1336371517 | Deryk Mark Zinser | Family Medicine | 36860 Industrial Way, Sandy, OR 97055-7371 | 2009-08-20 |
| 1538330816 | Claudia M Peterson | Nurse Practitioner | 36860 Industrial Way, Sandy, OR 97055-7371 | 2008-03-14 |
| 1750563946 | Marie Juliette Budesa | Family Medicine | 36860 Industrial Way, Sandy, OR 97055-7371 | 2007-11-29 |
| 1740287945 | Sara A Buse | Family Medicine | 36860 Industrial Way, Sandy, OR 97055-7371 | 2005-07-01 |
| 1336143932 | Stephen Frank Nicholson | Family Medicine | 36860 Industrial Way, Sandy, OR 97055-7371 | 2005-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942712922 | Harmony Pediatric Dental Group LLC | Dentist | 37515 Se Hwy 26, Sandy, OR 97055 | 2017-10-30 |
| 1447595020 | Russell Roy Cross | Pharmacist | 16625 326nd Ave, Sandy, OR 97055 | 2012-12-07 |
| 1043566847 | Clackamas County | Clinic/Center | 37400 Se Bell Street, Sandy, OR 97055 | 2012-07-30 |
| 1992064646 | Mt. Hood Dental Clinic | Clinic/Center | 39880 Pleasant St, Sandy, OR 97055 | 2012-05-15 |
| 1760756472 | Sandy Chiropractic Clinic | Chiropractor | 38953 Pioneer Blvd., Sandy, OR 97055 | 2012-02-27 |
| 1861635328 | Anthony James Turin | Optometrist | 36840 Se Industrial Way Ste D, Sandy, OR 97055 | 2009-04-14 |
| 1982875894 | Bruce A. Biermann D.m.d.,p.c. | Dentist | 39870 Se Pleasant St, Sandy, OR 97055 | 2008-03-19 |
| 1386856862 | Kenneth George Claggett | Dentist | 39055 Pioneer Blvd, Sandy, OR 97055 | 2007-05-04 |
| 1053532218 | Matthew Insuok Sah | Family Medicine | 16605 Bluff Rd, Sandy, OR 97055 | 2007-05-02 |
| 1760539092 | Tammy Ann Nicodemus | Massage Therapist | 38916 Proctor Blvd, Sandy, OR 97055 | 2007-01-05 |
| Find all providers in zip 97055 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949434 | Deep Creek Family Medicine | Family Medicine | 39084 Proctor Blvd Ste A, Sandy, OR 97055-8064 | 2020-07-14 |
| 1265953780 | Sleep Disorders Clinic, Pllc | Family Medicine | 688 E Union Sq # 101, Sandy, UT 84070-3403 | 2017-07-06 |
| 1447642988 | Scope | Family Medicine | 10000 S Centennial Pkwy, Sandy, UT 84070-4148 | 2015-02-20 |
| 1689972408 | David Lon Heaston | Family Medicine | 8868 Oak Hollow Cir, Sandy, UT 84093-2147 | 2011-03-02 |
| 1013179936 | Lisa J Hill | Family Medicine | 10011s Centennial Pkwy 350, Sandy, UT 84070-4137 | 2008-07-01 |
| 1699965939 | Kelli J Hurlburt | Family Medicine | 10000 S Centennial Pkwy Ste 235, Sandy, UT 84070-4148 | 2007-08-01 |
| 1053532218 | Matthew Insuok Sah | Family Medicine | 16605 Bluff Rd, Sandy, OR 97055 | 2007-05-02 |
| 1912032640 | Timothy Schaat | Family Medicine | 1045 E Black Forest Dr, Sandy, UT 84094-6920 | 2007-02-22 |
| 1932242690 | Stanley Morris Gardner | Family Medicine | 10946 S Hyrum Pl, Suite 317, Sandy, UT 84070-5202 | 2007-02-14 |
| 1891847117 | Martin Lambert Abbinanti | Family Medicine | 11142 S Barrett Park Cir, Sandy, UT 84092-2200 | 2007-01-17 |
| Find all providers in SANDY | ||||
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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.