Leesa M Azar (NPI# 1629012315, PAC ID# 9436129244) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1629012315 |
| PAC ID by PECOS | 9436129244 |
| Professional Enrollment ID | I20040805001415 |
| Full Name | Leesa M Azar |
| Organization Legal Name | GREENFIELD HEALTH SYSTEM LLC |
| Address |
9450 Sw Barnes Rd Suite 100 Portland OR 97225-6642 |
| Phone Number | 5032929560 |
| Gender | F |
| Credential | MD |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 8820986441 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
| 380004 | PROVIDENCE ST VINCENT MEDICAL CENTER |
| 380089 | LEGACY MERIDIAN PARK MEDICAL CENTER |
| 380017 | LEGACY GOOD SAMARITAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 9450 Sw Barnes Rd, Suite 100, Portland, OR 97225-6642 | 5032929560 | GREENFIELD HEALTH SYSTEM LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 77% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 90% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | GREENFIELD HEALTH SYSTEM LLC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael S Chen | Family Medicine | Greenfield Health System LLC | 9450 Sw Barnes Rd, Suite 100, Portland, OR 97225-6642 |
| Sagar K Shah | Family Medicine | Greenfield Health System LLC | 9450 Sw Barnes Rd, Suite 100, Portland, OR 97225-6642 |
| Cheston Jung-yu Wong | Physician Assistant | Greenfield Health System LLC | 9450 Sw Barnes Rd, Suite 100, Portland, OR 97225-6642 |
| Edgar Daniel Crawford | Family Medicine | Greenfield Health System LLC | 9450 Sw Barnes Rd, Suite 100, Portland, OR 97225-6642 |
| Jose Enrique Guillen Jr. | Physician Assistant | Greenfield Health System LLC | 9450 Sw Barnes Rd, Suite 100, Portland, OR 97225-6642 |
| Melanie N Doak | Internal Medicine | Greenfield Health System LLC | 9450 Sw Barnes Rd, Suite 100, Portland, OR 97225-6642 |
| Sheila Mitchell | Family Medicine | Greenfield Health System LLC | 9450 Sw Barnes Rd, Suite 100, Portland, OR 97225-6642 |
| Charles M Kilo | Internal Medicine | Greenfield Health System LLC | 9450 Sw Barnes Rd, Suite 100, Portland, OR 97225-6642 |
| Nina Sanna | Nurse Practitioner | Greenfield Health System LLC | 9450 Sw Barnes Rd, Suite 100, Portland, OR 97225-6642 |
| Paula H Koeller | Pediatric Medicine | Greenfield Health System LLC | 9450 Sw Barnes Rd, Suite 100, Portland, OR 97225-6642 |
| Street Address |
9450 SW BARNES RD SUITE 100 |
| City | PORTLAND |
| State | OR |
| Zip | 97225-6642 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael S Chen | Family Medicine | Greenfield Health System LLC | 9450 Sw Barnes Rd, Suite 100, Portland, OR 97225-6642 |
| Sagar K Shah | Family Medicine | Greenfield Health System LLC | 9450 Sw Barnes Rd, Suite 100, Portland, OR 97225-6642 |
| Cheston Jung-yu Wong | Physician Assistant | Greenfield Health System LLC | 9450 Sw Barnes Rd, Suite 100, Portland, OR 97225-6642 |
| Vivek Dogra | Internal Medicine | 9450 Sw Barnes Rd, Suite 140, Portland, OR 97225-6637 | |
| Edgar Daniel Crawford | Family Medicine | Greenfield Health System LLC | 9450 Sw Barnes Rd, Suite 100, Portland, OR 97225-6642 |
| Jose Enrique Guillen Jr. | Physician Assistant | Greenfield Health System LLC | 9450 Sw Barnes Rd, Suite 100, Portland, OR 97225-6642 |
| Melanie N Doak | Internal Medicine | Greenfield Health System LLC | 9450 Sw Barnes Rd, Suite 100, Portland, OR 97225-6642 |
| Sheila Mitchell | Family Medicine | Greenfield Health System LLC | 9450 Sw Barnes Rd, Suite 100, Portland, OR 97225-6642 |
| Charles M Kilo | Internal Medicine | Greenfield Health System LLC | 9450 Sw Barnes Rd, Suite 100, Portland, OR 97225-6642 |
| Nina Sanna | Nurse Practitioner | Greenfield Health System LLC | 9450 Sw Barnes Rd, Suite 100, Portland, OR 97225-6642 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robyn L Finseth | Chiropractic | 4850 Sw Scholls Ferry Rd, Suite 205, Portland, OR 97225-1692 | |
| Ayla Jade Himmelsbach | Optometry | Nimbus Vision Clinic, LLC | 8566 Sw Apple Way, Portland, OR 97225-1772 |
| Mary A Domm | Chiropractic | 8550 Sw Apple Way, Portland, OR 97225-1772 | |
| David J Mcbride | Optometry | Nimbus Vision Clinic, LLC | 8566 Sw Apple Way, Portland, OR 97225-1772 |
| Jeffrey E Devine | Chiropractic | Devine Chiropractic Inc | 8225 Sw Apple Way, Suite 100, Portland, OR 97225-1783 |
| Christine Rose Adriano Walty | Chiropractic | Devine Chiropractic Inc | 8225 Sw Apple Way, Suite 100, Portland, OR 97225-1783 |
| Ronald E Pacheco | Chiropractic | Devine Chiropractic Inc | 8225 Sw Apple Way, Suite 100, Portland, OR 97225-1783 |
| Barry D Shulak | Chiropractic | Devine Chiropractic Inc | 8225 Sw Apple Way, Suite 100, Portland, OR 97225-1783 |
| Robert D Peek | Optometry | 5045 Sw 77th Ave, Portland, OR 97225-1812 | |
| William F Mcbride | Family Medicine | 4475 Sw Scholls Ferry Rd, Suite 150, Portland, OR 97225-1957 | |
| Find all physicians in zip 97225 | |||
| City | PORTLAND |
| Zip Code | 97225 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PORTLAND + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Leesa M Azar.
| 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.