Active NPI
Maya Koike Hunter, MD
- Pediatric Endocrinology Physician
- Portland, OR
National Provider Identifier
1821066416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Endocrinology Physician
- License
- MD17733
- Practice address
- 501 N Graham St
Suite 375
Portland, OR 97227-1654 - Phone
- (503) 413-1600
- Fax
- (503) 413-1915
- NPI assigned
- Mar 9, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Endocrinology Physician | 2080P0205X | MD17733 | OR | Primary |
Addresses
Primary practice location
501 N Graham St
Suite 375
Portland, OR 97227-1654
Mailing address
501 N Graham St
Suite 375
Portland, OR 97227-1654
Phone (503) 413-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080601 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD17733 | OR | MD | Pediatric Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Emanuel Hospital & Health Center | Past | Accepting new patients |
Interoperability endpoints
- mhunter4193@direct.lhs.org
Organizations & group practices 1
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 Acute Care Hospital
- Portland, OR
- NPI 1831112358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335744000000",
"number": "1821066416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 N GRAHAM ST",
"address_2": "SUITE 375",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972271654",
"telephone_number": "503-413-1600",
"fax_number": "503-413-1915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N GRAHAM ST",
"address_2": "SUITE 375",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972271654",
"telephone_number": "503-413-1600",
"fax_number": "503-413-1915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNTER",
"first_name": "MAYA",
"middle_name": "KOIKE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-09",
"last_updated": "2012-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "OR",
"license": "MD17733",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "080601",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.