| Daniel Alexander Ananyev, DO | |
|
16463 Boones Ferry Rd Ste 300, Lake Oswego, OR 97035-4376 | |
| (503) 658-9351 | |
| (541) 708-5934 |
| Full Name | Daniel Alexander Ananyev |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 14 Years |
| Location | 16463 Boones Ferry Rd Ste 300, Lake Oswego, 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 |
|---|---|---|---|
| 1255678439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO166843 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Mount Hood Medical Center | Gresham, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Mount Hood Medical Center | 3173515996 | 44 |
| 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 | Legacy Mount Hood Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386919132 PECOS PAC ID: 3173515996 Enrollment ID: O20040401000550 |
| Entity Name | Providence Health & Services - Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912282369 PECOS PAC ID: 5294901922 Enrollment ID: O20120319000430 |
| Entity Name | Nisha Jackson Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124499124 PECOS PAC ID: 6305147745 Enrollment ID: O20151209000878 |
| Entity Name | Onepeak Southern Oregon Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740917558 PECOS PAC ID: 5395129670 Enrollment ID: O20220906001662 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Alexander Ananyev, DO Po Box 4037, Portland, OR 97208-4037 Ph: () - | Daniel Alexander Ananyev, DO 16463 Boones Ferry Rd Ste 300, Lake Oswego, OR 97035-4376 Ph: (503) 658-9351 |
Laura Lei Zhong Gaff, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4004 Kruse Way Pl Ste 300, Lake Oswego, OR 97035 Phone: 503-216-1500 | |
James Clive Chesnutt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4811 Meadows Rd Ste 101, Lake Oswego, OR 97035 Phone: 360-254-6161 Fax: 360-449-1146 | |
Dr. Walter Ray Hardin, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6 Centerpointe Dr Ste 200, Lake Oswego, OR 97035 Phone: 503-797-2268 | |
Dr. David W Selby, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 16463 Boones Ferry Rd Ste 100, Lake Oswego, OR 97035 Phone: 503-635-1350 Fax: 503-635-8470 | |
Dr. Josh Gepner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 412 A Ave Ste 200, Lake Oswego, OR 97034 Phone: 503-635-2496 Fax: 503-635-2497 | |
Michael Zimmerman, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6 Centerpointe Dr Ste 200, Lake Oswego, OR 97035 Phone: 503-797-2273 Fax: 503-234-8155 |