Mia E Skourtis, MD, LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

MIA E SKOURTIS, MD, LLC

Practice address

5050 NE Hoyt St
Suite 515
Portland, OR 97213-2991

Phone

(503) 232-3242

Fax

(503) 236-7581

NPI assigned

Nov 5, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Mia E SkourtisNPI 1194923789

Title

MD

Phone

(503) 232-3242

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 1

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

• Mia E Skourtis, MD

  • Plastic and Reconstructive Surgery Physician
  • Rochester, MN
  • NPI 1194923789

  OR

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1215264650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 NE HOYT ST",
            "address_2": "SUITE 515",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132991",
            "telephone_number": "503-232-3242",
            "fax_number": "503-236-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 NE HOYT ST",
            "address_2": "SUITE 515",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132991",
            "telephone_number": "503-232-3242",
            "fax_number": "503-236-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIA E SKOURTIS, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "SKOURTIS",
        "authorized_official_first_name": "MIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "503-232-3242",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearl Lisa Meyerson
• Ana Elizabeth Meza Rochin, MD
• Marina Mezey, MD
• Emma Jane Mezher, LAC
• Morgen Mhike
• Mia Neuse, L.Ac., LLC
• Heather Marie Miadowicz, MSPT
• Elizabeth A Miakinkoff, LMT, LMP, CA
• Burhan Ahmed Mian, MD
• Cassandra Miasnikov

• Plastic Surgery Physician in Portland, OR
• Providers in Portland, 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 Nov 5, 2009; 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.