| 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 | 29 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 |
| Facility Name | Location | Facility Type |
|---|---|---|
| Duncan Regional Hospital, Inc | Duncan, OK | Hospital |
| Oklahoma Spine Hospital | Oklahoma city, OK | Hospital |
| Community Hospital, Llc | Oklahoma city, OK | Hospital |
| Oklahoma Center For Orthopaedic & Multi-sp | Oklahoma city, OK | Hospital |
| Comanche County Memorial Hospital | Lawton, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Star Cn Lp | 0547589376 | 21 |
| North Star Fm Lp | 1153591763 | 46 |
| North Star Mcd Llc | 2668659434 | 59 |
| North Star Mri Of Frisco Lp | 2769574854 | 53 |
| Smi Imaging Llc | 3476696220 | 376 |
| Health Diagnostics Of California A Professional Corporation | 4284621525 | 177 |
| North Star Fp Lp | 6800168576 | 33 |
| North Star Npt Lp | 8426468265 | 8 |
| North Star Diagnostic Imaging Llc | 8729118021 | 59 |
| Singleton Associates Pa | 6305731118 | 773 |
| Eagle Partners Pllc | 9032205752 | 172 |
| Entity Name | Smi Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972004489 PECOS PAC ID: 3476696220 Enrollment ID: O20180824000622 |
| 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: O20221123002651 |
| Entity Name | Simonmed Reno Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306576145 PECOS PAC ID: 5991140360 Enrollment ID: O20240524001372 |
| 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 | |
Kiri Ann Cook, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 265 N Broadway, Portland, OR 97227 Phone: 503-280-1223 | |
Deborah Janet Cohen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Veterans Hospital Rd, Portland, OR 97239 Phone: 503-539-4903 | |
Andrew Gary Helming, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8311 | |
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: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 | |
Dr. James S Putnam, MD Radiology Medicare: Medicare Enrolled Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-4830 Fax: 503-216-4850 |