Kishore G. Pathial, M.D., P.C.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

695279-1 Issued in OR

Legal business name

KISHORE G. PATHIAL, M.D., P.C.

Practice address

2397 NE Cumulus Ave.
McMinnville, OR 97128-6255

Phone

(503) 472-5163

Fax

(503) 472-5163

NPI assigned

Aug 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kishore Gopinathan Pathial, M.D.NPI 1396765236

Title

Owner

Phone

(503) 472-5163

Specialties & licenses 4

Addresses

Other names 1

• Yamhill Valley Pulmonary & Sleep Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kishore Gopinathan Pathial, MD

  • Pulmonary Disease Physician
  • McMinnville, OR
  • NPI 1396765236

  Internal Medicine

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1003008665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2397 NE CUMULUS AVE.",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971286255",
            "telephone_number": "503-472-5163",
            "fax_number": "503-472-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2397 NE CUMULUS AVE.",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971286255",
            "telephone_number": "503-472-5163",
            "fax_number": "503-472-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISHORE G. PATHIAL, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "PATHIAL",
        "authorized_official_first_name": "KISHORE",
        "authorized_official_middle_name": "GOPINATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-472-5163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "094006411N3 ANP-PP",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "695279-1",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OR",
            "license": "695279-1",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OR",
            "license": "695279-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yamhill Valley Pulmonary & Sleep Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathanial D King, PSS
• Emma Kinler
• Timothy J Kirby, CRNA
• Beverly Diane Kirk, LPC
• Kishore G Pathial MD PC
• Klaus Martin, MD, PC
• Charmaine Marie Kline
• Joann Kobel
• Robert Charles Koehler
• Dianne K Koenig, PA

• Pulmonary Disease Physician in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Pulmonary Disease Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.