Nathan Arthur Kemalyan, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD15679 Issued in OR

Practice address

6485 SW Borland Rd
Ste B
Tualatin, OR 97062-9762

Phone

(503) 468-3222

Fax

(458) 888-0891

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nathan a Kemalyan MD Facs

  dba Afterburn - A Place For Healing

  • Surgery Physician
  • Tualatin, OR
  • NPI 1154989259
  Authorized official Same address or phone
• Surgical Center, Inc

  • Surgery Physician
  • Portland, OR
  • NPI 1003955196
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1316030927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 NE 19TH AVE",
            "address_2": "SUITE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322684",
            "telephone_number": "503-963-2801",
            "fax_number": "503-963-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6485 SW BORLAND RD",
            "address_2": "STE B",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629762",
            "telephone_number": "503-468-3222",
            "fax_number": "458-888-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMALYAN",
        "first_name": "NATHAN",
        "middle_name": "ARTHUR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD15679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316030927",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70722",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Racquel Cherie Kavanaugh
• Timothy Lynn Keenen, MD
• Sheri Lynn Kellams
• Dorothy M Kelling, RN
• Jennifer Suzanne Kelly, MD
• Eric Kendall, PT, DPT
• Patricia Kenney-Moore, MS, PA-C
• Dmitry Keysalov, DDS
• Vishal Khemlani, M.D.
• James A Kilgore, MD

• Surgery Physician in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.