May Khadem, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD180062 Issued in OR

Practice address

2318 Portland Rd Ste 300
Newberg, OR 97132-1374

Phone

(503) 538-1341

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mrs. May Khadem Czerniejewski Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Northwestern Medical Faculty Foundation

  dba Northwestern Medical Group

  • Multi-Specialty Clinic/Center
  • Carol Stream, IL
  • NPI 1346235314
  NPD
• Oregon Eye Specialists PC

  dba The Sight Shop

  • Ophthalmology Physician
  • Portland, OR
  • NPI 1770752321
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1841348364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 S MACADAM AVE STE 160",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393517",
            "telephone_number": "503-244-8601",
            "fax_number": "503-244-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 PORTLAND RD STE 300",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321374",
            "telephone_number": "503-538-1341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9135 SW Barnes Rd Ste 961",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972256699",
            "country_code": "US",
            "telephone_number": "503-292-0848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHADEM",
        "first_name": "MAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036061211",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD180062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500741673",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAY",
            "last_name": "CZERNIEJEWSKI",
            "middle_name": "KHADEM",
            "prefix": "MRS.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Madelyn Rose Kennedy
• Kyle Douglas Kern, DMD
• Michelle Kay Kershaw, D.P.T.
• Keri Kessel, RPH
• Ian Welles Keusink
• Katherine Garnet Khaw, COTA
• Jasen John King, LMT
• Leanne Klein
• Matthew M Klein, DPT
• Kristie L. Knows His Gun, PSY.D.

• Ophthalmology Physician in Newberg, OR
• Providers in Newberg, OR by specialty
• Ophthalmology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.