KISHORE G. PATHIAL, M.D., P.C. NPI 1003008665

Internal Medicine (Pulmonary Disease) in Mcminnville, OR

About KISHORE G. PATHIAL, M.D., P.C.

Kishore G. Pathial, M.d., P.c. is a provider in Mcminnville, OR. The NPI number assigned to this provider is 1003008665. The practitioner's primary taxonomy code is Internal Medicine (207RP1001X). The provider is registered as an organization and their NPI record was last updated 4 years ago. Kishore G. Pathial, M.d., P.c. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Yamhill Valley Pulmonary & Sleep Center.

NPI1003008665 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameKISHORE G. PATHIAL, M.D., P.C.
Provider Location Address2397 NE CUMULUS AVE. MCMINNVILLE, OR 97128 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address2397 NE CUMULUS AVE. MCMINNVILLE, OR 97128 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Other Organization NameYAMHILL VALLEY PULMONARY & SLEEP CENTER Additional informationCallout TooltipProvider other organization name
The alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Other Name TypeDoing Business As (3)
Enumeration Date08-16-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-31-2013 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

KISHORE G. PATHIAL, M.D., P.C.
2397 NE CUMULUS AVE.
MCMINNVILLE, OR
ZIP 97128
Phone: (503) 472-5163
Fax: (503) 472-5163
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Mailing Address

KISHORE G. PATHIAL, M.D., P.C.
2397 NE CUMULUS AVE.
MCMINNVILLE, OR
ZIP 97128
Phone: (503) 472-5163
Fax: (503) 472-3320

Primary Taxonomy

Taxonomy Code207RP1001X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationPulmonary Disease
License No.695279-1
License StateOR
Taxonomy DescriptionAn internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Authorized Official

Authorized Official NameDR. KISHORE GOPINATHAN PATHIAL M.D. Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleOWNER
Authorized Official Phone(503) 472-5163

193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1163W00000XNursing Service ProvidersRegistered Nurse094006411N3 ANP-PPORNo

Taxonomy Description: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

2207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine695279-1ORNo

Taxonomy Description: a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

3207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine695279-1ORNo

Taxonomy Description: an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
R117634MEDICARE UPIN (02)OR
E94892MEDICARE UPIN (02)OR
R119483MEDICARE UPIN (02)PA
R117632MEDICARE UPIN (02)OR

Map Location


KISHORE G. PATHIAL, M.D., P.C. address is 2397 NE CUMULUS AVE. MCMINNVILLE, OR 97128