KATHRYN F MCGONIGLE MD NPI 1417042854

NPI Information

NPI: 1417042854
Provider Name: KATHRYN F MCGONIGLE, MD
Classification: Obstetrics & Gynecology - 207VX0201X
Entity Type: Individual

Specialization: Gynecologic Oncology

PECOS Registration: Yes

Address:
1015 NW 22ND AVE
PORTLAND, OR
ZIP 97210
Phone: (503) 413-8654
Get Directions

Kathryn F Mcgonigle, MD is a gynecologic oncology obstetrics gynecology in Portland, OR with 40 years of experience. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. Kathryn F Mcgonigle, MD NPI is 1417042854. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1984

The provider's business location address is:

1015 NW 22ND AVE
PORTLAND, OR
ZIP 97210-025
Phone: (503) 413-8654
Fax: (503) 413-8655

The NPI 1417042854 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 11/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VX0201X	Obstetrics & Gynecology	Gynecologic Oncology	743	WISCONSIN	No
2	207VX0201X	Obstetrics & Gynecology	Gynecologic Oncology	MD204288	OREGON	Yes
3	207VX0201X	Obstetrics & Gynecology	Gynecologic Oncology	MD00040252	WASHINGTON	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	160053987	OTHER	WASHINGTON	RAILROAD MEDICARE
2	US2608092	OTHER	WASHINGTON	AETNA SPECIALIST NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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