NORTHWEST SURGICAL SPECIALISTS PC (NPI# 1609398239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609398239 |
| Entity Type | Organization |
| Organization Name | NORTHWEST SURGICAL SPECIALISTS PC |
| Other Organization Name | REBOUND ORTHOPEDICS LAKE OSWEGO |
| Practice Address |
4811 Meadows Rd Ste 101 Lake Oswego OR 97035-2542 |
| Mailing Address |
200 Ne Mother Joseph Pl Ste 210 Vancouver WA 98664-3295 |
| Practice Telephone | 3602546161 |
| Mailing Telephone | 3602546161 |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2017-07-14 |
| Authorized Official Name | JAY L CRARY (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 3602546161 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHWEST SURGICAL SPECIALISTS PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Rebound Orthopedics Lake Oswego | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023530508 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 200 Ne Mother Joseph Pl Ste 305, Vancouver, WA 98664-3296 | 2017-07-17 |
| 1710409347 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 1040 Nw 22nd Ave Ste 610, Portland, OR 97210-3066 | 2017-07-14 |
| 1306368915 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 2121 Ne 139th St Ste 300, Vancouver, WA 98686-2316 | 2017-07-14 |
| 1093237612 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 3101 Se 192nd Ave Ste 103, Vancouver, WA 98683-1443 | 2017-07-14 |
| 1548782022 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 601 Se 117th Ave Ste 210, Vancouver, WA 98683-5297 | 2017-07-17 |
| 1801318381 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 1 N Center Court St Ste 110, Portland, OR 97227-2104 | 2017-07-17 |
| 1821510306 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 2121 Ne 139th St Ste 325, Vancouver, WA 98686-2319 | 2017-07-17 |
| 1801318415 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 200 Ne Mother Joseph Pl Ste 300, Vancouver, WA 98664-3296 | 2017-07-14 |
| 1851568422 | Northwest Surgical Specialists PC | Podiatrist | 3100 W Higgins Rd Ste 150, Hoffman Estates, IL 60169-7256 | 2008-05-13 |
| 1801073762 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 200 Ne Mother Joseph Pl Ste 110, Vancouver, WA 98664-3293 | 2008-01-23 |
| Street Address |
4811 MEADOWS RD STE 101 |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 97035-2542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760431175 | Karl Nicholas Kaluza | Family Medicine | 4811 Meadows Rd Ste 101, Lake Oswego, OR 97035-2542 | 2006-05-10 |
| 1417140930 | Patti Lee Henry | Physical Therapist | 4811 Meadows Rd Ste 101, Lake Oswego, OR 97035-2542 | 2007-08-20 |
| 1063522928 | Ben John Baarspul | Physical Therapist | 4811 Meadows Rd Ste 101, Lake Oswego, OR 97035-2542 | 2006-08-30 |
| 1043225543 | James Clive Chesnutt | Family Medicine | 4811 Meadows Rd Ste 101, Lake Oswego, OR 97035-2542 | 2006-07-31 |
| 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 Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619487279 | True North Surgical Inc | Durable Medical Equipment & Medical Supplies | 19317 Lorna Ln, Lake Oswego, OR 97035-8036 | 2017-10-09 |
| 1245786235 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 5820 Jean Rd Ste 100, Lake Oswego, OR 97035-5304 | 2016-08-30 |
| 1194178137 | Bridgeworks Oregon | Durable Medical Equipment & Medical Supplies | 7021 Mcewan Rd, Lake Oswego, OR 97035-7830 | 2016-07-14 |
| 1174916043 | Biotronik, Inc. | Durable Medical Equipment & Medical Supplies | 6024 Jean Rd, Lake Oswego, OR 97035-5571 | 2015-03-16 |
| 1770924235 | Genesis Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 17394 Boones Ferry Rd, Lake Oswego, OR 97035-5218 | 2013-07-12 |
| 1336497312 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 17711 Jean Way, Lake Oswego, OR 97035-5305 | 2012-08-22 |
| 1326309279 | Northwest Mobility LLC | Durable Medical Equipment & Medical Supplies | 1405 Cherry Crest Ave, Lake Oswego, OR 97034-5932 | 2012-06-06 |
| 1396984977 | Minimed Distribution Corp. | Durable Medical Equipment & Medical Supplies | 5665 Sw Meadows Rd, Suite 100, Lake Oswego, OR 97035-3159 | 2009-02-05 |
| 1730298027 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 90 B Avenue, Lake Oswego, OR 97034-3131 | 2006-08-30 |
| 1629187919 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 16390 Boones Ferry Rd, Lake Oswego, OR 97035-4262 | 2006-08-30 |
| Find all providers in LAKE OSWEGO | ||||
| City | LAKE OSWEGO |
| Zip Code | 97035 |
Please comment or provide details below to improve the information on NORTHWEST SURGICAL SPECIALISTS PC.
| 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.