Active NPI
Carin Kay Pluedeman, MD
- Family Medicine Physician
- Warrenton, OR
National Provider Identifier
1184615775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 18885
- Practice address
- 1639 SE Ensign LN # B-103
Warrenton, OR 97146 - Phone
- (035) 338-4500
- Fax
- (503) 338-4501
- NPI assigned
- Nov 2, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Community Based Hospice Care Agency
- Astoria, OR
- NPI 1023038858
Family Medicine
-
- Critical Access Hospital
- Astoria, OR
- NPI 1932814704
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18885 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Lutheran Charities | Past | Accepting new patients | |
| Columbia Lutheran Charities | Family Medicine | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 18885 | OR | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1639 SE Ensign LN # B-103
Warrenton, OR 97146
Mailing address
1639 SE Ensign LN # B-103
Warrenton, OR 97146-7308
Phone (035) 338-4500
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 081575 | Medicaid | OR |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 31, 2018.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527724800000",
"number": "1184615775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1639 SE ENSIGN LN # B-103",
"city": "WARRENTON",
"state": "OR",
"postal_code": "971467308",
"telephone_number": "035-338-4500",
"fax_number": "503-338-4501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1639 SE ENSIGN LN # B-103",
"city": "WARRENTON",
"state": "OR",
"postal_code": "97146",
"telephone_number": "035-338-4500",
"fax_number": "503-338-4501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLUEDEMAN",
"first_name": "CARIN",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-02",
"last_updated": "2018-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "18885",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "081575",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warrenton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.