MR. TODD B MACLEOD


Address: 4103 Mercantile Dr, Lake Oswego, OR 97035-2556
Phone: 5038509940

MR. TODD B MACLEOD (NPI# 1538426499) 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) 1538426499
Entity Type Individual
Full Name MR. TODD B MACLEOD
Credential PA
Practice Address 4103 Mercantile Dr
Lake Oswego
OR 97035-2556
Practice Telephone 5038509940
Practice Fax Number 5038506709
Mailing Telephone 5038509940
Mailing Fax Number 5038506709
Enumeration Date 2012-04-17
Last Update Date 2019-06-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA174736 OR Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant 006438 GA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA P01105699 RAILROAD MEDICARE 01
GA 003123101F 05
GA 003123101D 05
GA 003123101A 05
GA 003123101B 05
GA 003123101C 05
OR 500725730 05
GA WELLCARE 685394 01

Office Location

Street Address 4103 MERCANTILE DR
City LAKE OSWEGO
State OR
Zip Code 97035-2556

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548296593 Amer J Mirza Orthopaedic Surgery 4103 Mercantile Dr, Lake Oswego, OR 97035-2556 2006-06-23
1841817541 Adele E Smith Registered Nurse 4103 Mercantile Dr, Lake Oswego, OR 97035-2556 2020-06-29
1740842467 Craig T Gillis Do PC Orthopaedic Surgery 4103 Mercantile Dr, Lake Oswego, OR 97035-2556 2019-07-02
1356850267 Tasha Stark Physician Assistant 4103 Mercantile Dr, Lake Oswego, OR 97035 2017-09-22
1891247037 Gabrielle Engelhard Physician Assistant 4103 Mercantile Dr, Lake Oswego, OR 97035 2016-11-03
1982033494 Amer J Mirza, Md PC Clinic/Center 4103 Mercantile Dr, Lake Oswego, OR 97035 2013-11-05
1861755126 Craig Thomas Gillis Orthopaedic Surgery 4103 Mercantile Dr, Lake Oswego, OR 97035 2012-06-21
1730495599 Monica Marie Daugherty Physician Assistant 4103 Mercantile Dr, Lake Oswego, OR 97035-2556 2010-08-30
1497082366 Orthopaedic Trauma Associates Specialist 4103 Mercantile Dr, Lake Oswego, OR 97035 2009-11-12
1427200021 Summit Orthopaedics, LLP Physician Assistant 4103 Mercantile Dr, Lake Oswego, OR 97035 2008-10-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932700127 Teresa Siebenaler Scott Social Worker 3990 Sw Collins Way, Suite 202, Lake Owsego, OR 97035 2020-11-04
1528671567 Martin Henry Lees Internal Medicine 14 Morningview Lane, Lake Oswego, OR 97035 2020-08-28
1356976187 Premere Rehab LLC Occupational Therapist Infinity Rehab - The Springs At Lake Oswego, 3900 Kruse Way Pl, Lake Oswego, OR 97035 2020-03-12
1689212193 Jennifer Chauvin Nurse Practitioner 20 Juarez Street, Lake Oswego, OR 97035 2019-12-16
1003396888 Sarah Guenzburger Physical Therapist 3900 Kruse Way Pl, Lake Oswego, OR 97035 2018-08-21
1568964252 Brett Johnson Marriage & Family Therapist 5655 Southwood Dr, Lake Oswego, OR 97035 2018-03-08
1912416561 Michael Paul Long Social Worker 14523 Westlake Drive, Lake Oswego, Or 97035, Lake Oswego, OR 97035 2017-09-27
1467807859 Misty Lohn Nurse Practitioner 5 Centerpointe Dr., Ste 600, Lake Oswego, OR 97035 2016-05-04
1326405473 Kelsey Prince Behavioral Analyst 6400 Sw Rosewood St., Portland (lake Oswego), OR 97035 2016-01-20
1942683388 Elizabeth Risberg Harrison Massage Therapist 190 Oswego Summit, Lake Oswego, OR 97035 2015-07-02
Find all providers in zip 97035

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134771074 Phantom Surgical Services, LLC Physician Assistant 333 S State St. Suite V216, Lake Oswego, OR 97034-3948 2019-07-11
1457833394 Cascade Pa Associates, LLC Physician Assistant 333 S State St Ste V # 316, Lake Oswego, OR 97034-3988 2018-09-06
1144570805 James Herbert Moorman Physician Assistant 4000 Carman Dr, Unit 41, Lake Oswego, OR 97035-2475 2012-09-10
1184914608 Kimberly Carol Fey Powers Physician Assistant 4823 Meadows Rd Ste 127, Lake Oswego, OR 97035-2622 2011-04-18
1457531147 Lorena Leslie Cline Physician Assistant 4103 Mercantile Drive, Lake Oswego, OR 97305-6772 2007-11-09
1104016500 Stacy R. Hampton Physician Assistant 16869 65th Ave # 287, Lake Oswego, OR 97035-7865 2007-07-31
1962518399 Nancy Marie Campbell Physician Assistant 4035 S.w. Merchantile Drive, Suite 104, Lake Oswego, OR 97035 2006-08-21
1356850267 Tasha Stark Physician Assistant 4103 Mercantile Dr, Lake Oswego, OR 97035 2017-09-22
1508201161 Caroline Schmitz Physician Assistant 4015 Mercantile Dr, Suite 200, Lake Oswego, OR 97035-2552 2013-05-08
1093025918 Julie Lyn Cramer Physician Assistant 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035-8662 2010-10-13
Find all providers in LAKE OSWEGO

Competitor

Search similar providers

City LAKE OSWEGO
Zip Code 97035

Improve Information

Please comment or provide details below to improve the information on MR. TODD B MACLEOD.

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.

Trending Searches