Mary Elizabeth Caron, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

DO169680 Issued in OR

Practice address

201 N Pacific Hwy
Talent, OR 97540-9633

Phone

(207) 294-1860

Fax

(541) 622-3656

NPI assigned

Sep 16, 2006

Last updated

Apr 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Elizabeth Caron Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 30, 2020 through May 30, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New York Institute of Technology

  • Family Medicine Physician
  • Jonesboro, AR
  • NPI 1760003248
  NPD (past)
• Osteopathy New York, P.C.

  • Neuromusculoskeletal Medicine & OMM Physician
  • New York, NY
  • NPI 1982933446
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1013013713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N PACIFIC HWY",
            "city": "TALENT",
            "state": "OR",
            "postal_code": "975409633",
            "telephone_number": "207-294-1860",
            "fax_number": "541-622-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N PACIFIC HWY",
            "city": "TALENT",
            "state": "OR",
            "postal_code": "975409633",
            "telephone_number": "207-294-1860",
            "fax_number": "541-622-3656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3524 Heathrow Way",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975044004",
            "country_code": "US",
            "telephone_number": "541-646-3505",
            "fax_number": "541-646-3553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARON",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "232133",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "OR",
            "license": "DO169680",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OR",
            "license": "DO169680",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "DO169680",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "osteopathichealthcare.net",
            "affiliation": "N",
            "address_1": "201 N Pacific Hwy",
            "city": "Talent",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975409633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "CARON",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bradshaw Physical Therapy & Wellness Center LLC
• Roger B Bradshaw
• Mira Brockelman
• Amy Frances Burlison
• Mercedes Joanne Burt, OTR/L
• Cascadia Counseling Services LLC
• Cherocreek Nation (Chief Of Cherocreek Nation)
• Gene Richard Chester, ND
• Tom K. Clunie, D.C.
• David Allen Cohen, PA-C

• General Practice Physician in Talent, OR
• Providers in Talent, OR by specialty
• General Practice Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.