Active NPI
Audrey T Trainer, D.O.
- Emergency Medicine Physician
- Salem, OR
National Provider Identifier
1124060306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- DO24811
- Practice address
- 665 Winter St SE
Salem, OR 97301-3919 - Phone
- (503) 561-5634
- NPI assigned
- Jun 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | DO24811 | OR | Primary |
Addresses
Primary practice location
665 Winter St SE
Salem, OR 97301-3919
Mailing address
PO Box 2505
Salem, OR 97308-2505
Phone (888) 828-3198
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8398554 | Medicaid | WA | |
| G09751 | Other | GROUP HEALTH | |
| 274975 | Other | MARION POLK CHP | |
| A065 | Other | CHAMPUS | |
| P00779894 | Other | RR MEDICARE | |
| XYP200908 | Medicaid | CA | |
| 8938592 | Other | WA CRIME VICTIMS | |
| 015388000 | Other | BCBS | |
| 0187365 | Other | WA L&I | |
| 274975 | Medicaid | OR | |
| G09751 | Other | PROVIDENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040429001477 | OR | Practitioner - Emergency Medicine | 3375530330 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Emergency Physicians Service, PC | Emergency Medicine | Past | Accepting new patients |
| Provident Emergency Medicine Associates, PC | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- McMinnville, OR
- NPI 1629022876
OR
-
- Emergency Medicine Physician
- Salem, OR
- NPI 1063454395
Emergency Medicine
-
- Emergency Medicine Physician
- Schenectady, NY
- NPI 1750310645
Emergency Medicine
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 98.83 of 100
- Quality
- 83.85
- Improvement activities
- 40
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270684800000",
"number": "1124060306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2505",
"city": "SALEM",
"state": "OR",
"postal_code": "973082505",
"telephone_number": "888-828-3198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "665 WINTER ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973013919",
"telephone_number": "503-561-5634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAINER",
"first_name": "AUDREY",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2010-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OR",
"license": "DO24811",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8398554",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH",
"identifier": "G09751",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARION POLK CHP",
"identifier": "274975",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "A065",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00779894",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XYP200908",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA CRIME VICTIMS",
"identifier": "8938592",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "015388000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA L&I",
"identifier": "0187365",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "274975",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDENCE",
"identifier": "G09751",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.