Cornell Pain Clinic

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

MD178982 Issued in OR

Legal business name

CORNELL PAIN CLINIC

Doing business as

Suresh Chand MD

Practice address

15455 NW Greenbrier Pkwy Ste 130
Beaverton, OR 97006

Phone

(503) 376-9200

Fax

(503) 376-9201

NPI assigned

Mar 16, 2018

Last updated

Jun 28, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Suresh Chand, MDNPI 1922386614

Title

Physician

Phone

(503) 376-9200

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Suresh Chand MD Doing business as

Tax ID family

Cornell Pain Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cornell Pain Clinic LLC

  dba Suresh Chand MD

  • Interventional Pain Medicine Physician
  • Beaverton, OR
  • NPI 1861900516
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Suresh Chand, MD, MBA

  • Interventional Pain Medicine Physician
  • Beaverton, OR
  • NPI 1922386614

  Psychiatry

  NPD Authorized official

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530144000000",
    "number": "1649773490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15455 NW GREENBRIER PKWY STE 130",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970068115",
            "telephone_number": "503-376-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15455 NW GREENBRIER PKWY STE 130",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97006",
            "telephone_number": "503-376-9200",
            "fax_number": "503-376-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNELL PAIN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-06-28",
        "status": "A",
        "authorized_official_last_name": "CHAND",
        "authorized_official_first_name": "SURESH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "503-376-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OR",
            "license": "MD178982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500710995",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suresh Chand MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Behireta Corbadzic, DC
• Christopher R Corbett, PSYD
• Erin Corbin
• Kristen Corbin, BDC.BD.70136630
• Rachel Mehana Cordery, LMT
• Cornell Pain Clinic LLC (Suresh Chand MD)
• Cornell Urgent Care
• Cornerstone Caregiving, Inc (Home Instead #352)
• Maddelyne Mishell Corrales
• Michelle K Correia-Jeffers, DPT

• Pain Medicine Physician in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Pain Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.