Dr Charles A Kosydar, MD | |
9400 Sw Barnes Rd, Suite 150, Portland, OR 97225-6608 | |
(503) 797-6356 | |
Not Available |
Full Name | Dr Charles A Kosydar |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 17 Years |
Location | 9400 Sw Barnes Rd, Portland, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124221783 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085B0100X | Radiology - Body Imaging | 60208164 (Washington) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 182619 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence St Vincent Medical Center | Portland, OR | Hospital |
Providence Seaside Hospital | Seaside, OR | Hospital |
Providence Newberg Medical Center | Newberg, OR | Hospital |
Providence Portland Medical Center | Portland, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bridgeport Medical Imaging, Llc | 3173670411 | 27 |
Trg, Llc | 8820283617 | 31 |
Center For Medical Imaging Llc | 9335191543 | 26 |
Entity Name | Center For Medical Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275505448 PECOS PAC ID: 9335191543 Enrollment ID: O20050216000427 |
Entity Name | Bridgeport Medical Imaging, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922253525 PECOS PAC ID: 3173670411 Enrollment ID: O20090402000485 |
Entity Name | Trg, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467771121 PECOS PAC ID: 8820283617 Enrollment ID: O20101105000754 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles A Kosydar, MD 9400 Sw Barnes Rd, Suite 150, Portland, OR 97225-6608 Ph: () - | Dr Charles A Kosydar, MD 9400 Sw Barnes Rd, Suite 150, Portland, OR 97225-6608 Ph: (503) 797-6356 |
Gregory Hall, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 Fax: 503-494-4982 | |
Deborah Janet Cohen, MD Radiology Medicare: Medicare Enrolled Practice Location: 3710 Sw Veterans Hospital Rd, Portland, OR 97239 Phone: 503-539-4903 | |
Erik W Foss, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-2570 | |
Hans Guenter Wandel, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 | |
Steven Lloyd Primack, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 | |
Dr. James S Putnam, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-4830 Fax: 503-216-4850 | |
D. Bradley Koslin, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 |