MICHELE LYNN BABICKY (NPI# 1871742478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871742478 |
Entity Type | Individual |
Full Name | MICHELE LYNN BABICKY |
Credential | M.D. |
Practice Address |
4805 Ne Glisan St Ste 6n60 Portland OR 97213 |
Mailing Address |
847 Ne 19th Ave Ste 300 Portland OR 97232-2686 |
Practice Telephone | 5032810561 |
Practice Fax Number | 5034167377 |
Mailing Telephone | 5039632801 |
Mailing Fax Number | 5039632825 |
Enumeration Date | 2008-09-18 |
Last Update Date | 2020-09-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | MD188635 | OR | Allopathic & Osteopathic Physicians |
Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
MD188635 | OR | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 2103827 | 05 | |
OR | 500747217 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1130 Nw 22nd Ave Ste 410, Portland, OR 972102911 | 5032810561 | 5034167377 |
200 W Arbor Dr, San Diego, CA 921039001 | 6195436222 | |
2222 Nw Lovejoy St Ste 601, Portland, OR 972105104 | 5032810561 | 5034167377 |
9155 Sw Barnes Rd Ste 735, Portland, OR 972256634 | 5032810561 | 5034167377 |
Street Address |
4805 NE GLISAN ST STE 6N60 |
City | PORTLAND |
State | OR |
Zip Code | 97213 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679027874 | Ephraim Shin-tian Tang | Transplant Surgery | 4805 Ne Glisan St Ste 6n60, Portland, OR 97213-2933 | 2016-08-05 |
1659798932 | Rodrigo Pedraza Rosales | Colon & Rectal Surgery | 4805 Ne Glisan St Ste 6n60, Portland, OR 97213-2933 | 2014-03-24 |
1023443546 | Pamela Dawn Voltz | Physician Assistant | 4805 Ne Glisan St Ste 6n60, Portland, OR 97213-2933 | 2013-09-04 |
1437597556 | Lauren Elizabeth Orr | Surgery | 4805 Ne Glisan St Ste 6n60, Portland, OR 97213-2933 | 2013-06-11 |
1245587823 | Daniel Davila Bradley | Surgery | 4805 Ne Glisan St Ste 6n60, Portland, OR 97213-2933 | 2012-08-14 |
1760776041 | Maria Ximena Traa Kiely | Surgery | 4805 Ne Glisan St Ste 6n60, Portland, OR 97213 | 2011-06-05 |
1225353824 | Jon M Gerry | Surgery | 4805 Ne Glisan St Ste 6n60, Portland, OR 97213-2933 | 2010-04-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
1336775907 | Redpoint Physical Therapy and Performance LLC | Physical Therapist | 4200 Ne Flanders St Unit B, Portland, OR 97213 | 2020-03-16 |
1801431218 | Denise Dorgan-miller | Occupational Therapy Assistant | Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 | 2019-11-08 |
1619435617 | Aspiration of Character Counseling Services, LLC | Counselor | 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 | 2019-03-08 |
1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
1023507795 | Karissa Lynn Schwartz | Speech-Language Pathologist | Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 | 2018-05-08 |
1861944506 | James Livingston Taylor | Chiropractor | 5212 Ne Sacremento St., Portland, OR 97213 | 2016-10-28 |
1962958520 | Caitlin Turner | Massage Therapist | 4317 Ne Tillamook St., Portland, OR 97213 | 2016-09-01 |
1326407008 | Julianna Vermeys | Counselor | 4605 Ne Fremont St., 209a, Portland, OR 97213 | 2016-02-23 |
1881059822 | Thomas Michael Barrett | Counselor | 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 | 2015-12-17 |
Find all providers in zip 97213 |
Taxonomy Code | 2086X0206X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Surgical Oncology |
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205062692 | Cory Amanda Donovan | Surgery | 1040 Nw 22nd Ave Ste 560, Portland, OR 97210-3097 | 2009-05-31 |
1720208556 | Kristen P Massimino | Surgery | 3181 Sw Sam Jackson Park Road #l579, Portland, OR 97239-3098 | 2007-04-26 |
1295163624 | William Wood Md Surgical Oncology LLC | Surgery | 185 Ne 102nd Ave, Portland, OR 97220-4169 | 2013-10-22 |
1548550874 | Jennifer Leigh Pasko | Surgery | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2011-04-07 |
1013211739 | James H Imatani, Jr. M.d., PC | Surgery | 5050 Ne Hoyt St, Suite 610, Portland, OR 97213-2944 | 2011-01-10 |
1760617914 | James Y Lim | Surgery | 3303 Sw Bond Ave, Suite 7, Portland, OR 97239-4501 | 2009-05-18 |
1144378340 | Nw Surgical Oncology PC | Surgery | 1040 Nw 22nd Ave, Suite 540, Portland, OR 97210-3057 | 2007-01-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063896603 | Avante, LLC | Surgery | 1410 Oak St, Ste 101, Eugene, OR 97401-4604 | 2015-07-14 |
1609092527 | Cascade Surgical Oncology, PC | Surgery | 1200 Hilyard St Ste 550, Eugene, OR 97401-8153 | 2007-04-18 |
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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.