Active NPI
Mary C Harbor, MD
- Pediatrics Physician
- McMinnville, OR
National Provider Identifier
1205823986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD28620
- Practice address
- 2435 NE Cumulus Ave Ste a
McMinnville, OR 97128-8862 - Phone
- (503) 472-6161
- Fax
- (503) 434-8486
- NPI assigned
- Sep 29, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01043329 | IN | |
| Pediatrics Physician | 208000000X | MD28620 | OR | Primary |
Addresses
Primary practice location
2435 NE Cumulus Ave Ste a
McMinnville, OR 97128-8862
Mailing address
2435 NE Cumulus Ave Ste a
McMinnville, OR 97128-8862
Phone (503) 472-6161
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200045150A | Medicaid | IN | |
| 023682 | Medicaid | OR |
Other names 1
- Dr. Mary C Aguiar
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Joseph Regional Medical Center, Inc. | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Saint Joseph Medical Group
- Family Medicine Physician
- Mishawaka, IN
- NPI 1467406074
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357689600000",
"number": "1205823986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2435 NE CUMULUS AVE STE A",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971288862",
"telephone_number": "503-472-6161",
"fax_number": "503-434-8486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2435 NE CUMULUS AVE STE A",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971288862",
"telephone_number": "503-472-6161",
"fax_number": "503-434-8486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARBOR",
"first_name": "MARY",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-29",
"last_updated": "2013-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01043329",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OR",
"license": "MD28620",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200045150A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "023682",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "AGUIAR",
"middle_name": "C",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in McMinnville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.