DR. ELIZABETH ANDERSON FIALKOWSKI (NPI# 1659497709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659497709 |
Entity Type | Individual |
Full Name | DR. ELIZABETH ANDERSON FIALKOWSKI |
Credential | MD |
Practice Address |
3181 Sw Sam Jackson Park Rd Cdw7 Portland OR 97239-3011 |
Practice Telephone | 5034947764 |
Mailing Telephone | 5034947764 |
Enumeration Date | 2007-03-21 |
Last Update Date | 2015-05-14 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
MD167988 | OR | Allopathic & Osteopathic Physicians |
N | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
269383 | NY | Allopathic & Osteopathic Physicians |
Street Address |
3181 SW SAM JACKSON PARK RD CDW7 |
City | PORTLAND |
State | OR |
Zip Code | 97239-3011 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972506301 | Jerris Robert Hedges | Emergency Medicine | 3181 Sw Sam Jackson Park Rd, # L-102, Portland, OR 97239-3011 | 2005-05-31 |
1114528486 | Nathan Stencel | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 | 2020-11-04 |
1073113064 | Evan Mitchell | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-10-28 |
1629678834 | Vanessa Davie | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-10-27 |
1952901480 | Jackie Kim Sharpe | Pharmacist | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-10-26 |
1922607530 | Leah Snyder | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 | 2020-10-23 |
1932708740 | Blake Beneville | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 | 2020-10-22 |
1154920833 | Isabelle Nguyen | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-10-22 |
1124627054 | Musah N Iddrisu | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-10-21 |
1386242105 | Wenelia Baghoomian | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-10-14 |
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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 Code | 2086S0120X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Pediatric Surgery |
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740470681 | John Richard Campbell | Surgery | 745 Sw Gaines St, Cdw-7, Portland, OR 97239-2901 | 2007-07-26 |
1801801394 | Mark Lawrence Silen | Surgery | 2552 Nw Mildred St, Portland, OR 97210-3337 | 2006-07-31 |
1548264054 | Michael Robert Curci | Surgery | 887 Congress St, Ste 410a, Portland, ME 04102-3103 | 2005-06-13 |
1265631352 | Kartikey A Pandya | Surgery | 887 Congress St, Suite 300, Portland, ME 04102-3100 | 2007-07-17 |
1245433184 | Mubeen Jafri | Surgery | 501 N Graham St, Suite 300, Portland, OR 97227-1654 | 2007-06-07 |
1720297849 | Jeffrey M. Halter | Surgery | 887 Congress St, Suite 300, Portland, ME 04102 | 2007-05-22 |
1619197423 | Maine Pediatric Surgical Associates | Surgery | 887 Congress St, Suite 300, Portland, ME 04102-3100 | 2007-04-26 |
1659451086 | Providence Health & Services - Oregon | Surgery | 1321 Ne 99th Ave, Suite 200, Portland, OR 97220-9436 | 2006-10-17 |
1447330410 | Ian R Neilson | Surgery | 887 Congress St, Suite 300, Portland, ME 04102-3100 | 2006-10-16 |
1043300502 | Cynthia Ann Gingalewski | Surgery | 501 N Graham St, Mob 2 Suite 300, Portland, OR 97227-1654 | 2006-10-13 |
Find all providers in PORTLAND |
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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.