NORTHWEST SURGICAL SPECIALISTS, P.C. (NPI# 1730118803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730118803 |
| Entity Type | Organization |
| Organization Name | NORTHWEST SURGICAL SPECIALISTS, P.C. |
| Other Organization Name | REBOUND ORTHOPEDICS & NEUROSURGICAL SPECIALISTS |
| Practice Address |
1 N Center Court St Ste 110 Portland OR 97227-2104 |
| Mailing Address |
200 Ne Mother Joseph Pl Suite 210 Vancouver WA 98664-3299 |
| Practice Telephone | 3602546161 |
| Practice Fax Number | 3604491146 |
| Mailing Telephone | 3602546161 |
| Mailing Fax Number | 3604491139 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2017-07-26 |
| Authorized Official Name | JAY L. CRARY (OWNER) |
| Authorized Official Telephone | 3602546161 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 231808 | 05 | |
| WA | 7883200 | 05 |
| Other Name | Type Code |
|---|---|
| Rebound Orthopedics & Neurosurgical Specialists | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | NORTHWEST SURGICAL SPECIALISTS, P.C. | 200 Ne Mother Joseph Pl, Ste 210, Vancouver, WA 98664-3295 |
| Oregon Corporations, Companies and Business Names | NORTHWEST SURGICAL SPECIALISTS, P.C., A WASHINGTON PROFESSIONAL CORPORATION | 200 Ne Mother Joseph Pl, Suite 210, Vancouver, WA 98664 |
| Street Address |
1 N CENTER COURT ST STE 110 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801318381 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 1 N Center Court St Ste 110, Portland, OR 97227-2104 | 2017-07-17 |
| 1255427662 | Douglas P Rosario | Physical Therapist | 1 N Center Court St Ste 110, Portland, OR 97227-2104 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1851955975 | Erin Marie Staples | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 | 2019-04-24 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1730615071 | Mehran Giblin | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 | 2017-05-05 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| 1407300205 | Jenna Abernathy | Counselor | 3537 N Williams Ave, Portland, OR 97227 | 2016-08-09 |
| 1215390760 | Tanya Marie Woods | Massage Therapist | 3808 N. Williams Ave., Portland, OR 97227 | 2016-04-01 |
| 1033596853 | Eric Allen Martin | Counselor | 2054 N. Vancouver Ave, Portland, OR 97227 | 2015-04-30 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| Find all providers in zip 97227 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598252272 | Venel Orthopaedic Institute At Lake Andrew | Orthopaedic Surgery | 10000 Se Main St Ste 205, Portland, OR 97216-2448 | 2018-04-18 |
| 1710382296 | Michael Baskin Md LLC | Orthopaedic Surgery | 4166 Sw Greenleaf Dr, Portland, OR 97221-3225 | 2014-10-27 |
| 1801132667 | Robert Andrew Berselli | Orthopaedic Surgery | 02113 Sw Military Rd, Portland, OR 97219-8428 | 2012-12-26 |
| 1134482284 | Andrew J Bryan | Orthopaedic Surgery | 1515 Nw 18th Ave Ste 300, Portland, OR 97209-2539 | 2012-06-22 |
| 1114297553 | Marc El Najjar | Orthopaedic Surgery | 1220 Sw 66th Ave # Appt2213, Portland, OR 97225-6022 | 2012-01-02 |
| 1245556984 | Penelope D Lang | Orthopaedic Surgery | 3500 N Interstate Ave, Kaiser Permanente, Interstate Medical Office South Orthopaedics, Portland, OR 97227-1196 | 2010-04-19 |
| 1154646453 | Ivanhoe B. Higgins, M.d., P.C. | Orthopaedic Surgery | 5050 Ne Hoyt St Ste 640, Portland, OR 97213-2990 | 2010-03-30 |
| 1811134836 | Robert Graf Mckillop | Orthopaedic Surgery | 21 Ne 7th Ave, Portland, OR 97232-2907 | 2009-01-13 |
| 1790920841 | Joseph Paul Schenck | Orthopaedic Surgery | 9925 Sw Quail Post Road, Portland, OR 97219 | 2008-12-03 |
| 1962680553 | Anthony Woodward | Orthopaedic Surgery | 10737 Sw Lancaster Rd, Portland, OR 97219-6494 | 2008-02-06 |
| 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.