Jay Ham, MD | |
1001 Providence Dr, Newberg, OR 97132-7485 | |
(503) 537-5607 | |
Not Available |
Full Name | Jay Ham |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 18 Years |
Location | 1001 Providence Dr, Newberg, 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 |
---|---|---|---|
1760659627 | NPI | - | NPPES |
P00940168 | Other | OR | RR MEDICARE - PROVIDENCE |
500611160 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD126238 (Oregon) | Secondary |
207R00000X | Internal Medicine | LL17051 (Oregon) | Secondary |
208M00000X | Hospitalist | MD126238 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Newberg Medical Center | Newberg, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Oregon | 0648183608 | 1344 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093976243 PECOS PAC ID: 3476450560 Enrollment ID: O20031217000186 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578500492 PECOS PAC ID: 1557260106 Enrollment ID: O20040102000768 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053862714 PECOS PAC ID: 7315856010 Enrollment ID: O20040304001330 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568547503 PECOS PAC ID: 5294623245 Enrollment ID: O20040310000315 |
Mailing Address | Practice Location Address |
---|---|
Jay Ham, MD Po Box 3158, Portland, OR 97208-3158 Ph: () - | Jay Ham, MD 1001 Providence Dr, Newberg, OR 97132-7485 Ph: (503) 537-5607 |
Dr. Matthew Charles Fischer, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1001 N Providence Dr, Newberg, OR 97132 Phone: 503-537-5607 |