Ronald Kizziar, MD | |
545 Ne 47th Ave, Suite 215, Portland, OR 97213-2238 | |
(503) 731-2904 | |
Not Available |
Full Name | Ronald Kizziar |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 28 Years |
Location | 545 Ne 47th Ave, 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 |
---|---|---|---|
1316924046 | NPI | - | NPPES |
8376576 | Medicaid | WA | |
840126006 | Other | OR | REGENCE BS/BC |
226863 | Medicaid | OR | |
P0058316 | Other | OR | RR MC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD21310 (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Smi Imaging Llc | 3476696220 | 234 |
Health Diagnostics Of California A Professional Corporation | 4284621525 | 87 |
Smi Imaging Llc | 3476696220 | 234 |
Entity Name | The Oregon Clinic, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265417174 PECOS PAC ID: 2860390408 Enrollment ID: O20031222000096 |
Entity Name | Radiology Specialists Of The Northwest Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699759498 PECOS PAC ID: 6204829963 Enrollment ID: O20040407000754 |
Entity Name | Health Diagnostics Of California A Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104321959 PECOS PAC ID: 4284621525 Enrollment ID: O20220511001308 |
Entity Name | Smi Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972004489 PECOS PAC ID: 3476696220 Enrollment ID: O20220714000556 |
Mailing Address | Practice Location Address |
---|---|
Ronald Kizziar, MD 545 Ne 47th Ave, Suite 215, Portland, OR 97213-2238 Ph: (503) 731-2904 | Ronald Kizziar, MD 545 Ne 47th Ave, Suite 215, Portland, OR 97213-2238 Ph: (503) 731-2904 |
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 |