JAMES MARK BERTOLA (NPI# 1811917750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811917750 |
| Entity Type | Individual |
| Full Name | JAMES MARK BERTOLA |
| Practice Address |
3325 N Interstate Ave Dept of Pain Medicine Portland OR 97227-1020 |
| Practice Telephone | 5033316131 |
| Mailing Telephone | 5033316131 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2012-12-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
45911 | CO | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
MD27813 | OR | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
A94417 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3325 N INTERSTATE AVE DEPT OF PAIN MEDICINE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407807720 | Cheryl A Miranda | Genetic Counselor, MS | 3325 N Interstate Ave, Portland, OR 97227-1020 | 2006-05-12 |
| 1003367657 | Kaiser Foundation Health Plan of The Northwest | General Practice | 3325 N Interstate Ave, Portland, OR 97227-1020 | 2016-10-19 |
| 1568814952 | Lindsey Moser | Pharmacist | 3325 N Interstate Ave, Portland, OR 97227-1020 | 2016-07-08 |
| 1821449919 | Taben Main | Pharmacist | 3325 N Interstate Ave, Portland, OR 97227-1020 | 2016-06-29 |
| 1457741068 | Audrey Nguyen | Pharmacist | 3325 N Interstate Ave, Portland, OR 97227-1020 | 2015-02-03 |
| 1245665769 | Abbey Shoultz | Social Worker | 3325 N Interstate Ave, Portland, OR 97227-1020 | 2013-09-04 |
| 1801153887 | Erin Schalles | Genetic Counselor, MS | 3325 N Interstate Ave, Portland, OR 97227-1020 | 2012-04-16 |
| 1841556552 | Gary Kim | Anesthesiology | 3325 N Interstate Ave, Portland, OR 97227-1020 | 2012-04-06 |
| 1215232871 | Marian J Morse | Genetic Counselor, MS | 3325 N Interstate Ave, Portland, OR 97227-1020 | 2011-01-12 |
| 1245559129 | Lindsay Dawn Craft | Counselor | 3325 N Interstate Ave, Portland, OR 97227-1020 | 2010-05-18 |
| Find all providers in the same location | ||||
| 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 | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316140965 | Russell Robert Kinder | Anesthesiology | 10000 Se Main St Ste 128, Portland, OR 97216-2462 | 2007-06-08 |
| 1235520503 | Andrew Oh Md PC | Anesthesiology | 140 Nw 14th Ave, Portland, OR 97209-2601 | 2015-02-09 |
| 1558751958 | Washington Center for Pain Management LLC | Anesthesiology | 11786 Sw Barnes Rd, Suite 270, Portland, OR 97225-5929 | 2015-01-23 |
| 1134486327 | Kathryn Ashley Price | Anesthesiology | 1130 Nw 22nd Ave Ste 345, Portland, OR 97210-2978 | 2012-04-12 |
| 1679728950 | Robert C Foege | Anesthesiology | 3325 N Interstate Ave, Portland, OR 97227-1020 | 2008-11-30 |
| 1861648362 | Andrei D Sdrulla | Anesthesiology | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2008-08-15 |
| 1376728097 | Joseph P Stapleton Md, PC | Anesthesiology | 9300 Se 91st Ave, Suite 400, Portland, OR 97086 | 2007-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912346461 | Vishal Khemlani | Anesthesiology | 6464 Sw Borland Rd Ste A2, Tualatin, OR 97062-8854 | 2013-06-18 |
| 1124075791 | Gregory Gullo | Anesthesiology | 2020 8th Ave, Suite 200, West Linn, OR 97068-4657 | 2006-05-28 |
| 1851353502 | Ahmed Ebeid | Anesthesiology | 851 Ne Baker St Ste 1, Mcminnville, OR 97128-4991 | 2006-04-06 |
| 1992798169 | Timothy L Kelly | Anesthesiology | 831 Nw Council Dr, Suite 300, Gresham, OR 97030-3721 | 2005-08-23 |
| 1013911361 | Brett T Quave | Anesthesiology | 701 Golf View Dr, Medford, OR 97504-9643 | 2005-06-01 |
| 1568083517 | Deschutes Pain Specialists LLC | Anesthesiology | 2235 Nw Shevlin Park Rd Ste 100, Bend, OR 97703-7111 | 2020-04-30 |
| 1942675467 | Pain Care Specialists of Oregon, LLC | Anesthesiology | 2480 Liberty St Ne Ste 180, Salem, OR 97301-8388 | 2015-12-09 |
| 1487023388 | Comprehensive Pain Care, LLC | Anesthesiology | 842 E Main St, Medford, OR 97504-7134 | 2015-09-21 |
| 1144647033 | Erica Bohan | Anesthesiology | 825 Bennett Ave, Medford, OR 97504-6715 | 2014-03-28 |
| 1699102426 | Comprehensive Pain Consultants, LLC | Anesthesiology | 851 Ne Baker St Ste 1, Mcminnville, OR 97128-4991 | 2013-10-12 |
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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.