Jason Bauer (NPI# 1326029950, PAC ID# 4587690821) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1326029950 |
| PAC ID by PECOS | 4587690821 |
| Professional Enrollment ID | I20070612000512 |
| Full Name | Jason Bauer |
| Organization Legal Name | INTERVENTIONAL AND VASCULAR CONSULTANTS PC |
| Address |
2701 Nw Vaughn St Suite 325 Portland OR 97210-5383 |
| Phone Number | 5036120498 |
| Gender | M |
| Credential | MD |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialties | INTERVENTIONAL RADIOLOGY |
| Group Practice PAC ID | 8123200805 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380089 | LEGACY MERIDIAN PARK MEDICAL CENTER |
| 380007 | LEGACY EMANUEL MEDICAL CENTER |
| 500150 | LEGACY SALMON CREEK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2701 Nw Vaughn St, Suite 325, Portland, OR 97210-5383 | 5036120498 | INTERVENTIONAL AND VASCULAR CONSULTANTS PC |
| Organization Legal Name | INTERVENTIONAL AND VASCULAR CONSULTANTS PC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary Zhang | Interventional Radiology | Interventional and Vascular Consultants PC | 25030 Sw Pkwy Ave, Suite 200, Wilsonville, OR 97070-9816 |
| Nikhil K Mehta | Interventional Radiology | Interventional and Vascular Consultants PC | 25030 Sw Pkwy Ave, Suite 200, Wilsonville, OR 97070-9816 |
| Jaime Walton All | Interventional Radiology | Interventional and Vascular Consultants PC | 25030 Sw Pkwy Ave, Suite 200, Wilsonville, OR 97070-9816 |
| Michael Alan Bevilacqua | Interventional Radiology | Interventional and Vascular Consultants PC | 25030 Sw Pkwy Ave, Suite 200, Wilsonville, OR 97070-9816 |
| Michael E Pfister | Interventional Radiology | Interventional and Vascular Consultants PC | 2701 Nw Vaughn St, Suite 325, Portland, OR 97210-5383 |
| Street Address |
2701 NW VAUGHN ST SUITE 325 |
| City | PORTLAND |
| State | OR |
| Zip | 97210-5383 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheryl L Horwitz | Nurse Practitioner | Synergy Women's Health Care | 2701 Nw Vaughn St, Suite 205, Portland, OR 97210-5352 |
| Jonathan Thomas Horey | Psychiatry | Tms Physician Services PC | 2701 Nw Vaughn St, Suite 325, Portland, OR 97210-5383 |
| Caitlin J Martini | Physical Therapy | Therapeutic Associates Inc | 2701 Nw Vaughn St, Suite 155, Portland, OR 97210-5348 |
| Todd J Cruz | Physical Therapy | Therapeutic Associates Inc | 2701 Nw Vaughn St, Suite 155, Portland, OR 97210-5348 |
| Sally Holtzman | Obstetrics/gynecology | Synergy Women's Health Care | 2701 Nw Vaughn St, Suite 205, Portland, OR 97210-5352 |
| Michael E Pfister | Interventional Radiology | Interventional and Vascular Consultants PC | 2701 Nw Vaughn St, Suite 325, Portland, OR 97210-5383 |
| Scott N Losk | Psychologist, Clinical | 2701 Nw Vaughn St, Suite 350, Portland, OR 97210-5354 | |
| Laura A Korman | Obstetrics/gynecology | Synergy Women's Health Care | 2701 Nw Vaughn St, Suite 205, Portland, OR 97210-5352 |
| Amy R Bruner | Obstetrics/gynecology | Synergy Women's Health Care | 2701 Nw Vaughn St, Suite 205, Portland, OR 97210-5352 |
| Ward T Smith | Psychiatry | 2701 Nw Vaughn St, Suite 350, Portland, OR 97210-5354 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul G Brown | Clinical Psychologist | 2134 Nw Aspen Ave, Portland, OR 97210-1217 | |
| Megan A Banker | Chiropractic | 2232 Nw Pettygrove St, Suite 110, Portland, OR 97210-2372 | |
| Gail F Ott | Chiropractic | Megan Banker Dc PC | 2232 Nw Pettygrove St, Suite 110, Portland, OR 97210-2372 |
| Carol Stimpson Christensen | Clinical Social Worker | 2520 Nw Upshur St, Portland, OR 97210-2550 | |
| Laurence W Christensen | Clinical Psychologist | 2520 Nw Upshur St, Portland, OR 97210-2550 | |
| Karen B Kelsall | Chiropractic | 1615 Nw23rd Ave, Suite 2, Portland, OR 97210-2563 | |
| Anthony U Weber | Chiropractic | Kelsall Chiropractic Clinic PC | 1615 Nw23rd Ave, Portland, OR 97210-2563 |
| Tony Farrenkopf | Psychologist, Clinical | 2256 Nw Pettygrove St, Portland, OR 97210-2608 | |
| Kimberly Michiko Nakayama | Qualified Audiologist | Northwest Ear Institute PC | 2230 Nw Pettygrove St, Suite 120, Portland, OR 97210-2659 |
| Jeffrey Christopher La Rochelle | Urology | Northwest Urology LLC | 2230 Nw Pettygrove, Suite 210, Portland, OR 97210-2659 |
| Find all physicians in zip 97210 | |||
| City | PORTLAND |
| Zip Code | 97210 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | PORTLAND + DIAGNOSTIC RADIOLOGY |
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| 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.