Active NPI
Kaare E Tingelstad, DO
- Family Medicine Physician
- Baker City, OR
National Provider Identifier
1306891783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO24126
- Practice address
- 3325 Pocahontas
Baker City, OR 97814 - Phone
- (541) 523-8111
- Fax
- (541) 523-1738
- NPI assigned
- May 23, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO24126 | OR | Primary |
Addresses
Primary practice location
3325 Pocahontas
Baker City, OR 97814
Mailing address
3340 E Goldstone Way
Meridian, ID 83642-1026
Phone (541) 523-8111
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wallowa County Health Care District | Current | Accepting new patients | |
| Wallowa County Health Care District | Family Medicine | Current | Accepting new patients |
| Frontier Family Medicine PC | Family Medicine | Past | Accepting new patients |
| Jamie Slagel Lac LLC | Past | Accepting new patients | |
| Wallowa County Health Care District | Past | Accepting new patients |
Locations
601 Medical Pkwy
Enterprise, OR 97828
Phone (541) 426-3111
603 Medical Pkwy
Enterprise, OR 97828
Phone 5414264502215
Interoperability endpoints
- ktingelstad1563738@direct.trinity-health.org
Organizations & group practices 5
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.
-
- Critical Access Hospital Clinic/Center
- Enterprise, OR
- NPI 1447256250
Family Medicine
-
- Critical Access Hospital
- Enterprise, OR
- NPI 1558366229
-
- Family Medicine Physician
- Enterprise, OR
- NPI 1306883194
-
- Physical Therapist
- Enterprise, OR
- NPI 1013504208
-
- Medicare Defined Swing Bed Hospital Unit
- Enterprise, OR
- NPI 1164428066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465862400000",
"number": "1306891783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 E GOLDSTONE WAY",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836421026",
"telephone_number": "541-523-8111",
"fax_number": "541-523-1738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3325 POCAHONTAS",
"city": "BAKER CITY",
"state": "OR",
"postal_code": "97814",
"telephone_number": "541-523-8111",
"fax_number": "541-523-1738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TINGELSTAD",
"first_name": "KAARE",
"middle_name": "E",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2016-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "DO24126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baker City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.