DR. MICHAEL JAMES MUNLY (NPI# 1740423847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740423847 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JAMES MUNLY |
| Credential | M.D. |
| Practice Address |
9155 Sw Barnes Rd Ste 735 Portland OR 97225-6634 |
| Mailing Address |
847 Ne 19th Ave Ste 300 Portland OR 97232-2686 |
| Practice Telephone | 5032971351 |
| Practice Fax Number | 5032972851 |
| Mailing Telephone | 5039632801 |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2018-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 171532 | OR | Allopathic & Osteopathic Physicians |
| Y | 208C00000X | Colon & Rectal Surgery | MD171532 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500656111 | 05 |
| Street Address |
9155 SW BARNES RD STE 735 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-6634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881615102 | Sarah Hamilton Boyles | Obstetrics & Gynecology | 9155 Sw Barnes Rd Ste 735, Portland, OR 97225-6634 | 2006-07-21 |
| 1457745200 | Ashley Nicole Rivera | Surgery | 9155 Sw Barnes Rd Ste 735, Portland, OR 97225-6634 | 2015-03-18 |
| 1760715312 | Laura Epton | Physician Assistant | 9155 Sw Barnes Rd Ste 735, Portland, OR 97225-6634 | 2009-09-15 |
| 1518161538 | Douglas Graham York | Surgery | 9155 Sw Barnes Rd Ste 735, Portland, OR 97225 | 2007-06-13 |
| 1609090398 | Lisa Rh Bayne | Nurse Practitioner | 9155 Sw Barnes Rd Ste 735, Portland, OR 97225 | 2007-04-12 |
| 1538213723 | Kathryn Mae Hill | Nurse Practitioner | 9155 Sw Barnes Rd Ste 735, Portland, OR 97225-6634 | 2007-01-23 |
| 1093804353 | David William Cook | Surgery | 9155 Sw Barnes Rd Ste 735, Portland, OR 97225 | 2006-10-12 |
| 1790874113 | Kim Raymond Swartz | Surgery | 9155 Sw Barnes Rd Ste 735, Portland, OR 97225 | 2006-10-12 |
| 1710082219 | Chelsea Seare Hardin | Surgery | 9155 Sw Barnes Rd Ste 735, Portland, OR 97225 | 2006-09-13 |
| 1346255833 | Mary Anna Denman | Obstetrics & Gynecology | 9155 Sw Barnes Rd Ste 735, Portland, OR 97225-6634 | 2006-07-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194090399 | Christopher Jay Longaker | Colon & Rectal Surgery | 12235 Nw Big Fir Cir, Portland, OR 97229-3903 | 2012-03-21 |
| 1659798932 | Rodrigo Pedraza Rosales | Colon & Rectal Surgery | 4805 Ne Glisan St Ste 6n60, Portland, OR 97213-2933 | 2014-03-24 |
| 1295173763 | Paul Michael Kaminsky | Colon & Rectal Surgery | 2222 Nw Lovejoy St Ste 601, Portland, OR 97210 | 2013-06-06 |
| 1023313749 | Northwest Center for Colorectal Health, LLC | Colon & Rectal Surgery | 9155 Sw Barnes Rd, Suite 211, Portland, OR 97225-6625 | 2011-01-12 |
| 1093030074 | Alizah Rabin Rotramel | Colon & Rectal Surgery | 1040 Nw 22nd Ave, Suite 540, Portland, OR 97210-3057 | 2010-04-01 |
| 1962578104 | Megan M Cavanaugh | Colon & Rectal Surgery | 9155 Sw Barnes Rd, Suite 231, Portland, OR 97225-6625 | 2006-11-28 |
| 1629140603 | Gary H Leaverton | Colon & Rectal Surgery | 511 Sw 10th Avenue, Suite 714, Portland, OR 97205 | 2006-11-14 |
| 1841362928 | Scott M Browning | Colon & Rectal Surgery | 9155 Sw Barnes Rd, #211, Portland, OR 97225-6625 | 2006-11-14 |
| 1851479034 | Cathel Ah Macleod | Colon & Rectal Surgery | 10 Andover Rd, Portland, ME 04102-1954 | 2006-11-02 |
| 1235217456 | Melville Parker Roberts | Colon & Rectal Surgery | 10 Andover Rd, Portland, ME 04102-1954 | 2006-11-02 |
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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.