Active NPI
Sharon Renee Mirarchi, M.D.
- Diagnostic Radiology Physician
- Clackamas, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD28426
- Practice address
- 10180 SE Sunnyside Road
Kaiser Sunnyside Medical Center
Clackamas, OR 97015 - Phone
- (503) 652-2880
- Fax
- (310) 388-3029
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 35085750 | OH | |
| Diagnostic Radiology Physician | 2085R0202X | MD428648 | PA | |
| Diagnostic Radiology Physician | 2085R0202X | MD28426 | OR | Primary |
Addresses
Primary practice location
10180 SE Sunnyside Road
Kaiser Sunnyside Medical Center
Clackamas, OR 97015
Mailing address
10180 SE Sunnyside Road
Kaiser Sunnyside Medical Center
Clackamas, OR 97015
Phone (503) 652-2880
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MI422032 | Other | OH | MEDICARE PTAN |
| 1020379600001 | Medicaid | PA |
Other names 1
- Ms. Sharon Renee Ransom
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Temple University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10100 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (800) 813-2000
10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (800) 813-2000
2400 Lancaster Dr NE
Salem, OR 97305-1221
Phone (800) 813-2000
3500 N Interstate Ave
Portland, OR 97227-1196
Phone (800) 813-2000
3550 N Interstate Ave
Portland, OR 97227-1196
Phone (800) 813-2000
5125 Skyline Rd S
Salem, OR 97306-9427
Phone (800) 813-2000
7101 NE 137TH Ave
Vancouver, WA 98682-4933
Phone (800) 813-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35085750 | OH | MD | Specialist |
| MD28426 | OR | MD | Diagnostic Radiology Physician |
| MD428648 | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Penn Imaging Associates PC | Diagnostic Radiology | Past | Accepting new patients |
| Albert J. Cook M.D. Inc | Diagnostic Radiology | Past | Accepting new patients |
Locations
10180 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2880
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
WA
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
-
- Diagnostic Radiology Physician
- Kent, OH
- NPI 1578593299
-
- Diagnostic Radiology Physician
- Kent, OH
- NPI 1366513830
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clackamas, OR
- NPI 1124182902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228867200000",
"number": "1144249467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10180 SE SUNNYSIDE ROAD",
"address_2": "KAISER SUNNYSIDE MEDICAL CENTER",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "97015",
"telephone_number": "503-652-2880",
"fax_number": "310-388-3029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10180 SE SUNNYSIDE ROAD",
"address_2": "KAISER SUNNYSIDE MEDICAL CENTER",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "97015",
"telephone_number": "503-652-2880",
"fax_number": "310-388-3029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRARCHI",
"first_name": "SHARON",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2008-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OH",
"license": "35085750",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD428648",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OR",
"license": "MD28426",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "MI422032",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1020379600001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHARON",
"last_name": "RANSOM",
"middle_name": "RENEE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.