DR. GEOLANI W DY (NPI# 1710243951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710243951 |
| Entity Type | Individual |
| Full Name | DR. GEOLANI W DY |
| Credential | M.D. |
| Practice Address |
3303 Sw Bond Ave Ste 10 Portland OR 97239-4501 |
| Practice Telephone | 5033461500 |
| Practice Fax Number | 5034948671 |
| Mailing Telephone | 5033461500 |
| Mailing Fax Number | 5034948671 |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2019-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | MD193211 | OR | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | 293674 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 222 E 41st St, New York, NY 10017 | 6468256300 |
| Street Address |
3303 SW BOND AVE STE 10 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982820692 | Hilary Anne Shreves | Nurse Practitioner | 3303 Sw Bond Ave Ste 10, Portland, OR 97239-4501 | 2007-04-18 |
| 1497240121 | Dorian Scull | Physician Assistant | 3303 Sw Bond Ave Ste 10, Portland, OR 97239-4501 | 2018-06-25 |
| 1295283380 | Matthew Paul Keeslar | Physician Assistant | 3303 Sw Bond Ave Ste 10, Portland, OR 97239-4501 | 2016-09-16 |
| 1851744577 | Ashley Jean Olson | Physician Assistant | 3303 Sw Bond Ave Ste 10, Portland, OR 97239-4501 | 2016-07-18 |
| 1962847673 | Jyoti D Chouhan | Urology | 3303 Sw Bond Ave Ste 10, Portland, OR 97239-4501 | 2013-05-08 |
| 1649582735 | Sudhir Isharwal | Urology | 3303 Sw Bond Ave Ste 10, Portland, OR 97239-4501 | 2010-07-06 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376885418 | Sasha Courand Druskin | Urology | 2226 Nw Pettygrove St, Portland, OR 97210-2608 | 2013-03-26 |
| 1871837468 | Kirit S Shah M.d., P.C. | Urology | 171 Ne 102nd Ave, Portland, OR 97220-4169 | 2012-11-20 |
| 1730484544 | James Bresee | Urology | 9135 Sw Barnes Rd Ste 663, Portland, OR 97225 | 2011-01-26 |
| 1538332291 | James T Pappas, Md, PC | Urology | 5050 Ne Hoyt St Ste 428, Portland, OR 97213-2984 | 2008-04-02 |
| 1679775241 | James Francis Tycast | Urology | 2230 Nw Pettygrove St Ste 210, Portland, OR 97210-2659 | 2007-06-04 |
| 1255546982 | Nicholas A Boncher | Urology | 5050 Ne Hoyt St Ste 210, Portland, OR 97213-2980 | 2007-05-14 |
| 1740329366 | Jaroslava Zoubek | Urology | 800 Sw 13th Ave Ste 663, Portland, OR 97205-1902 | 2007-02-06 |
| 1992809966 | Bruce Henry Blank | Urology | 164 Nw Macleay Blvd, Portland, OR 97210-3323 | 2006-09-12 |
| 1396854121 | Michael J Raife | Urology | 727 S Wahanna Road, Portland, OR 97138-7735 | 2006-08-29 |
| 1184660813 | Kirit S Shah | Urology | 171 Ne 102nd Avenue, Portland, OR 97220-4169 | 2006-06-21 |
| 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.