Melissa R Kinder MD, LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

MD161983 Issued in OR

Legal business name

MELISSA R KINDER MD, LLC

Doing business as

Hand and Reconstructive Surgery Northwest

Practice address

10121 SE Sunnyside Rd
Suite 235
Clackamas, OR 97015-5754

Phone

(503) 498-8190

Fax

(503) 305-7425

NPI assigned

Jul 19, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Melissa Rae Kinder, MDNPI 1730346289

Title

Doctor

Phone

(503) 498-8190

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hand and Reconstructive Surgery Northwest Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 2

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

• Melissa Rae Kinder, MD

  • Surgery of the Hand (Plastic Surgery) Physician
  • Clackamas, OR
  • NPI 1730346289
  Medicare reassignment NPD Authorized official
• Nathan Reh Enoki, MD

  • Orthopaedic Hand Surgery Physician
  • Clackamas, OR
  • NPI 1699946715
  NPD (past)

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1003258948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10121 SE SUNNYSIDE RD",
            "address_2": "SUITE 235",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155754",
            "telephone_number": "503-498-8190",
            "fax_number": "503-305-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10121 SE SUNNYSIDE RD",
            "address_2": "SUITE 235",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155754",
            "telephone_number": "503-498-8190",
            "fax_number": "503-305-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA R KINDER MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-19",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "KINDER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "503-498-8190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "OR",
            "license": "MD161983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500656021",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hand and Reconstructive Surgery Northwest",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hand and Reconstructive Surgery Northwest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kyra June Medgin
• Wendy L. Mednick, M.D.
• Katie Mejia
• Kira Melan, RDH
• Elizabeth Melendez, MD
• Joshua Michael Mellander
• Andrea Leah Mendoza, LMT
• Roderick Scott Mercurio, M.D.
• Thomas Lancaster Merlin, MD
• Mary Elizabeth Merrill, RT

• Plastic Surgery Physician in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Plastic Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.