Jordan D Smith (NPI# 1336345263, PAC ID# 0941430961) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1336345263 |
| PAC ID by PECOS | 0941430961 |
| Professional Enrollment ID | I20140731001456 |
| Full Name | Jordan D Smith |
| Organization Legal Name | LEGACY MERIDIAN PARK HOSPITAL |
| Address |
19300 Sw 65th Ave Tualatin OR 97062-7706 |
| Phone Number | 5036922500 |
| Gender | M |
| Medical School | UNIVERSITY OF VERMONT COLLEGE OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 5092609842 |
| Number of Group Practice Members | 91 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380089 | LEGACY MERIDIAN PARK MEDICAL CENTER |
| 380009 | OHSU HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 5036922500 | LEGACY MERIDIAN PARK HOSPITAL |
| 19875 Sw 65th Ave, Tualatin, OR 97062-8353 | 5036927785 | LEGACY MERIDIAN PARK HOSPITAL |
| Organization Legal Name | LEGACY MERIDIAN PARK HOSPITAL |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara Marie Mcgarry | Psychologist, Clinical | Legacy Meridian Park Hospital | 1433 Se 1st Ave, Canby, OR 97013-6768 |
| Alia Paquette | Internal Medicine | Legacy Meridian Park Hospital | 18010 Sw Mcewan Rd, Lake Oswego, OR 97035-7868 |
| Jenna M Donaldson | Family Medicine | Legacy Meridian Park Hospital | 1002 N Boones Ferry Rd, Woodburn, OR 97071-9602 |
| Joshua Alexander Gepner | Family Medicine | Legacy Meridian Park Hospital | 412 A Ave, Lake Oswego, OR 97034-3075 |
| Colin M Mcdonough | Internal Medicine | Legacy Meridian Park Hospital | 19875 Sw 65th Ave, Tualatin, OR 97062-8353 |
| Laura L Gaff | Family Medicine | Legacy Meridian Park Hospital | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 |
| Srividya Venigalla | Internal Medicine | Legacy Meridian Park Hospital | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 |
| Rychel Rae Cor | Psychologist, Clinical | Legacy Meridian Park Hospital | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 |
| Elizabeth A Reding | Internal Medicine | Legacy Meridian Park Hospital | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 |
| Laura E Anissian | Internal Medicine | Legacy Meridian Park Hospital | 18010 Sw Mcewan Rd, Lake Oswego, OR 97035-7868 |
| Street Address |
19300 SW 65TH AVE |
| City | TUALATIN |
| State | OR |
| Zip | 97062-7706 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia Funk | Internal Medicine | Legacy Clinics LLC | 19300 Sw 65th Ave, Meridian Park Hosp, Portland, OR 97062-7706 |
| Tara L Eagle | Critical Care (intensivists) | Legacy Clinics LLC | 19300 Sw 65th Ave, Meridian Park Hosp, Portland, OR 97062-7706 |
| Laura L Gaff | Family Medicine | Legacy Meridian Park Hospital | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 |
| Dean K Peterson | Internal Medicine | Legacy Clinics LLC | 19300 Sw 65th Ave, Meridian Park Hosp, Portland, OR 97062-7706 |
| Paul R Ash | Neurology | Legacy Clinics LLC | 19300 Sw 65th Ave, Meridian Park Hosp, Portland, OR 97062-7706 |
| Michael J Zalanka | Psychiatry | Legacy Clinics LLC | 19300 Sw 65th Ave, Meridian Park Hosp, Portland, OR 97062-7706 |
| Bryan Putnam | Anesthesiology | Oregon Anesthesiology Group PC | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 |
| Vandy L Sherbin | Pulmonary Disease | Legacy Clinics LLC | 19300 Sw 65th Ave, Meridian Park Hosp, Portland, OR 97062-7706 |
| Paul R Cieslak | Infectious Disease | Legacy Clinics LLC | 19300 Sw 65th Ave, Meridian Park Hosp, Portland, OR 97062-7706 |
| Srividya Venigalla | Internal Medicine | Legacy Meridian Park Hospital | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Wung Hong Yee | Hematology/oncology | University Professional Services | 19260 Sw 65th Ave, Suite 140, Tualatin, OR 97062-5703 |
| Lisa M Cowan | Physician Assistant | Pacific Spine Specialists, LLC | 19260 Sw 65th Ave, Suite 270, Tualatin, OR 97062-5705 |
| Darin J Steblaj | Physician Assistant | Pacific Spine Specialists, LLC | 19260 Sw 65th Ave, Suite 270, Tualatin, OR 97062-5705 |
| Timothy L Keenen | Orthopedic Surgery | Pacific Spine Specialists, LLC | 19260 Sw 65th Ave, Suite 270, Tualatin, OR 97062-5705 |
| Nicole Celeste Foster | Physician Assistant | Legacy Clinics LLC | 19260 Sw 65th Ave, Suite 280, Tualatin, OR 97062-5708 |
| Ruchi J Wanchoo | Neurology | Legacy Clinics LLC | 19260 Sw 65th Ave, Suite 280, Tualatin, OR 97062-5708 |
| Charlotte A Haws | Physician Assistant | Legacy Clinics LLC | 19260 Sw 65th Ave, Suite 400, Tualatin, OR 97062-5712 |
| Arielle E Radelet | Physician Assistant | Legacy Clinics LLC | 19260 Sw 65th Ave, Suite 400, Tualatin, OR 97062-5712 |
| Dale G Campbell | Clinical Social Worker | 22100 Sw Grahams Ferry Rd, Tualatin, OR 97062-6993 | |
| Clayton Michael Smiley | Nephrology | Northwest Renal Clinic Inc | 8050 Sw Warm Springs St, Suite 150, Tualatin, OR 97062-7422 |
| Find all physicians in zip 97062 | |||
| City | TUALATIN |
| Zip Code | 97062 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | TUALATIN + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jordan D Smith.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.