Shane Robert Hanzlik (NPI# 1568624542, PAC ID# 3375760382) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1568624542 |
| PAC ID by PECOS | 3375760382 |
| Professional Enrollment ID | I20150821013842 |
| Full Name | Shane Robert Hanzlik |
| Organization Legal Name | OREGON ORTHOPEDIC AND SPORTS MEDICINE CLINIC |
| Address |
1508 Division St Suite 105 Oregon City OR 97045-1584 |
| Phone Number | 5036560836 |
| Gender | M |
| Medical School | UNIVERSITY OF NEVADA SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 3678467255 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380038 | PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER |
| 380089 | LEGACY MERIDIAN PARK MEDICAL CENTER |
| 380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1508 Division St, Suite 105, Oregon City, OR 97045-1584 | 5036560836 | OREGON ORTHOPEDIC AND SPORTS MEDICINE CLINIC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | OREGON ORTHOPEDIC AND SPORTS MEDICINE CLINIC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Clair Emch | Physician Assistant | Oregon Orthopedic and Sports Medicine Clinic | 1508 Division St, Suite 105, Oregon City, OR 97045-1584 |
| Benjamin W Hoover | Physician Assistant | Oregon Orthopedic and Sports Medicine Clinic | 1508 Division St, Suite 105, Oregon City, OR 97045-1584 |
| Michael G Garland | Physician Assistant | Oregon Orthopedic and Sports Medicine Clinic | 1508 Division St, Suite 105, Oregon City, OR 97045-1584 |
| James C Ballard | Orthopedic Surgery | Oregon Orthopedic and Sports Medicine Clinic | 1508 Division St, Suite 105, Oregon City, OR 97045-1584 |
| Stephanie D Bertrand | Physician Assistant | Oregon Orthopedic and Sports Medicine Clinic | 1508 Division St, Suite 105, Oregon City, OR 97045-1584 |
| Jacob Adams | Orthopedic Surgery | Oregon Orthopedic and Sports Medicine Clinic | 1508 Division St, Suite 105, Oregon City, OR 97045-1584 |
| David P Huberty | Orthopedic Surgery | Oregon Orthopedic and Sports Medicine Clinic | 1508 Division St, Suite 105, Oregon City, OR 97045-1584 |
| John D Boyle | Physician Assistant | Oregon Orthopedic and Sports Medicine Clinic | 1508 Division St, Suite 105, Oregon City, OR 97045-1584 |
| Erin J Van Dyke | Physician Assistant | Oregon Orthopedic and Sports Medicine Clinic | 1508 Division St, Suite 105, Oregon City, OR 97045-1584 |
| Bradford T Black | Orthopedic Surgery | Oregon Orthopedic and Sports Medicine Clinic | 1508 Division St, Suite 105, Oregon City, OR 97045-1584 |
| Street Address |
1508 DIVISION ST SUITE 105 |
| City | OREGON CITY |
| State | OR |
| Zip | 97045-1584 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michele T Quinn | Obstetrics/gynecology | Women's Healthcare Associates LLC | 1508 Division St, Suite 205, Oregon City, OR 97045-1585 |
| Ariel G Brantley-dalglish | Certified Nurse Midwife (cnm) | Women's Healthcare Associates LLC | 1508 Division St, Suite 205, Oregon City, OR 97045-1585 |
| Alyssa Marie O'brien | Registered Dietitian Or Nutrition Professional | Oregon Clinic PC | 1508 Division St, Suite 15, Oregon City, OR 97045-1583 |
| Chun-yang Chang | Gastroenterology | Oregon Clinic PC | 1508 Division St, Suite 15, Oregon City, OR 97045-1583 |
| Michael Frank Sheffield | Gastroenterology | Oregon Clinic PC | 1508 Division St, Suite 15, Oregon City, OR 97045-1583 |
| Swapna Bokka Reddy | Gastroenterology | Oregon Clinic PC | 1508 Division St, Suite 15, Oregon City, OR 97045-1583 |
| Monina Farrah Ramos Pascua | Gastroenterology | Oregon Clinic PC | 1508 Division St, Suite 15, Oregon City, OR 97045-1583 |
| Zibing Woodward | Gastroenterology | Oregon Clinic PC | 1508 Division St, Suite 115, Oregon City, OR 97045-1584 |
| Sophia May Lichenstein-hill | Nurse Practitioner | Oregon Clinic PC | 1508 Division St, Suite 15, Oregon City, OR 97045-1583 |
| Jeffrey David Duman | Gastroenterology | Oregon Clinic PC | 1508 Division St, Suite 15, Oregon City, OR 97045-1583 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Alan Singler | Chiropractic | 1900 Mcloughlin Blvd, Suite 24a, Oregon City, OR 97045-1067 | |
| Dawn M Klein | Physical Therapy | 1506 Washington St, Oregon City, OR 97045-1450 | |
| Julia B Toub | Neurology | Providence Health and Services Oregon | 1500 Division St, Oregon City, OR 97045-1527 |
| Jonathan L Schwab | Anesthesiology | Oregon Anesthesiology Group PC | 1500 Division St, Oregon City, OR 97045-1527 |
| Alexander Skog | Emergency Medicine | Emergency Medicine Specialists, LLC | 1500 Division St, Oregon City, OR 97045-1527 |
| Jason D Mauer | Interventional Pain Management | Oregon Anesthesiology Group PC | 1500 Division St, Oregon City, OR 97045-1527 |
| Ronald J Dworkin | Infectious Disease | Providence Health and Services Oregon | 1500 Division St, Oregon City, OR 97045-1527 |
| Zafar Ms Khan | Hospitalist | Providence Health and Services Oregon | 1500 Division St, Oregon City, OR 97045-1527 |
| Matthew M Evans | Neurology | Providence Health and Services Oregon | 1500 Division St, Oregon City, OR 97045-1527 |
| Julia C Timberlake | Diagnostic Radiology | Radiology Specialists of The Northwest PC | 1500 Division St, Oregon City, OR 97045-1527 |
| Find all physicians in zip 97045 | |||
| City | OREGON CITY |
| Zip Code | 97045 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | OREGON CITY + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Shane Robert Hanzlik.
| 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.