KENNETH G PIPPUS (NPI# 1801982764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801982764 |
| Entity Type | Individual |
| Full Name | KENNETH G PIPPUS |
| Credential | MD |
| Practice Address |
9427 Sw Barnes Rd Ste 598 Portland OR 97225-6652 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5032168654 |
| Practice Fax Number | 5032168658 |
| Mailing Telephone | 5032156494 |
| Mailing Fax Number | 5032156644 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2010-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
MD152536 | OR | Allopathic & Osteopathic Physicians |
| N | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
41464 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500624953 | 05 | |
| CO | 44331282 | 05 |
| Street Address |
9427 SW BARNES RD STE 598 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-6652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407851363 | Bernard A Gasch | Dermatology | 9427 Sw Barnes Rd, Suite 495, Portland, OR 97225-6652 | 2005-06-16 |
| 1316473564 | Providence | General Acute Care Hospital | 9427 Sw Barnes Rd, Sutie 295, Portland, OR 97225 | 2017-05-10 |
| 1316318124 | Jun-nicole Matsushita | Doula | 9427 Sw Barnes Rd, Suite 395, Portland, OR 97225-6652 | 2015-10-20 |
| 1457759318 | Providence Health & Services - Oregon | Pediatrics | 9427 Sw Barnes Rd, Ste 395, Portland, OR 97225-6652 | 2014-12-09 |
| 1912324963 | Transitional Care Alliance | Nurse Practitioner | 9427 Sw Barnes Rd, Portland, OR 97225-6652 | 2014-03-27 |
| 1760818447 | Meegan Marie Mangum | Physician Assistant | 9427 Sw Barnes Rd, Suite 498, Portland, OR 97225-6652 | 2013-09-25 |
| 1083059778 | Providence Health & Services - Oregon | Obstetrics & Gynecology | 9427 Sw Barnes Rd, Suite 599, Portland, OR 97225-6652 | 2013-05-08 |
| 1912341108 | Emmanuel Rey Ariola | Registered Nurse | 9427 Sw Barnes Rd, Suite 495, Portland, OR 97225-6652 | 2013-04-18 |
| 1023359213 | Cheri Lynn Belling | Nurse Practitioner | 9427 Sw Barnes Rd, Suite 595, Portland, OR 97225-6652 | 2013-03-13 |
| 1639436074 | Alison Christy | Psychiatry & Neurology | 9427 Sw Barnes Rd, Suite 395, Portland, OR 97225-6652 | 2012-04-23 |
| Find all providers in the same location | ||||
| 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 | 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 |
| 1659497709 | Elizabeth Anderson Fialkowski | Surgery | 3181 Sw Sam Jackson Park Rd, Cdw7, Portland, OR 97239-3011 | 2007-03-21 |
| 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 |
| 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.