Northwest Ear Institute PC

Primary specialty

Otology & Neurotology PhysicianTaxonomy code 207YX0901X

License

MD24993 Issued in OR

Legal business name

NORTHWEST EAR INSTITUTE PC

Practice address

2230 NW Pettygrove St
Ste. 120
Portland, OR 97210-2659

Phone

(503) 444-7676

Fax

(971) 319-6647

NPI assigned

Jul 15, 2015

Last updated

Oct 30, 2024By 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

Hyon Soo Harold Kim, MD

Title

Owner/Medical Provider

Phone

(503) 444-7676

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12838/brand/1/csg/1/fhir/r4

Practitioners 8

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.

• Hyon Soo Harold Kim, MD

  • Otology & Neurotology Physician
  • Portland, OR
  • NPI 1700924719
  Medicare reassignment
• Kimberly Michiko Nakayama, AUD

  • Audiologist
  • Portland, OR
  • NPI 1083195317
  Medicare reassignment
• Nancy Lin, MD

  • Obstetrics & Gynecology Physician
  • Milwaukie, OR
  • NPI 1255302691
  NPD
• Lauren Marie Rynders

  • Audiologist
  • Portland, OR
  • NPI 1518440080
  NPD
• Patricia Lee Fletter, AU.D, CCC-A

  • Audiologist
  • Portland, OR
  • NPI 1124288386
  NPD (past)
• Howard I Gandler, M.D.

  • Rheumatology Physician
  • Portland, OR
  • NPI 1164429130
  NPD (past)
• Kip L Kemple, M.D.

  • Rheumatology Physician
  • Portland, OR
  • NPI 1295732261
  NPD (past)
• Jessie Ann Speirs, N.D.

  • Naturopath
  • Portland, OR
  • NPI 1336336643
  NPD (past)

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1841674280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 NW PETTYGROVE ST",
            "address_2": "STE. 120",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102659",
            "telephone_number": "503-444-7676",
            "fax_number": "971-319-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 NW PETTYGROVE ST",
            "address_2": "STE. 120",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102659",
            "telephone_number": "503-444-7676",
            "fax_number": "971-319-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST EAR INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HYON SOO",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "OWNER/MEDICAL PROVIDER",
        "authorized_official_telephone_number": "503-444-7676",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "OR",
            "license": "MD24993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Chiropractic and Medical Rehab
• Northwest Conservative Care LLC (C for Chiropractic)
• Northwest Creative Therapy LLC
• Northwest DBT LLC
• Northwest Dermatology & Laser Clinic PC
• Northwest Elite Mental Health Clinic
• Northwest Extremity Specialists LLC
• Northwest Extremity Specialists LLC
• Northwest Extremity Specialists LLC
• Northwest Extremity Specialists LLC

• Otology & Neurotology Physician in Portland, OR
• Providers in Portland, OR by specialty
• Otology & Neurotology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.