Vincent Joseph Santo Iii, MD | |
25030 Sw Parkway Ave Ste 200, Wilsonville, OR 97070-9816 | |
(971) 434-0080 | |
(503) 946-3891 |
Full Name | Vincent Joseph Santo Iii |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 15 Years |
Location | 25030 Sw Parkway Ave Ste 200, Wilsonville, 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 |
---|---|---|---|
1841424108 | NPI | - | NPPES |
500654922 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD158941 (Oregon) | Secondary |
2086S0129X | Surgery - Vascular Surgery | MD158941 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Portland Medical Center | Portland, OR | Hospital |
Providence St Vincent Medical Center | Portland, OR | Hospital |
Providence Willamette Falls Medical Center | Oregon city, OR | Hospital |
Providence Milwaukie Hospital | Milwaukie, 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: 1003991845 PECOS PAC ID: 5395656284 Enrollment ID: O20031113000626 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114015971 PECOS PAC ID: 9335057447 Enrollment ID: O20031117000153 |
Mailing Address | Practice Location Address |
---|---|
Vincent Joseph Santo Iii, MD Po Box 3158, Portland, OR 97208-3158 Ph: () - | Vincent Joseph Santo Iii, MD 25030 Sw Parkway Ave Ste 200, Wilsonville, OR 97070-9816 Ph: (971) 434-0080 |
Dr. Richard Brad Cook, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 25030 Sw Parkway Ave Ste 200, Wilsonville, OR 97070 Phone: 971-434-0080 Fax: 503-946-3891 |