Active NPI
Ignatius McCarthy
- Case Manager/Care Coordinator
- Portland, OR
National Provider Identifier
1336403310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 9911 SE Mt. Scott Boulevard, Portland, Oregon 97266
Portland, OR 97266 - Phone
- (503) 258-4200
- NPI assigned
- Jun 25, 2012
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
9911 SE Mt. Scott Boulevard, Portland, Oregon 97266
Portland, OR 97266
Mailing address
9911 SE Mt. Scott Boulevard, Portland, Oregon 97266
Portland, OR 97266
Phone (503) 258-4200
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347235200000",
"number": "1336403310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9911 SE MT. SCOTT BOULEVARD, PORTLAND, OREGON 97266",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97266",
"telephone_number": "503-258-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9911 SE MT. SCOTT BOULEVARD, PORTLAND, OREGON 97266",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97266",
"telephone_number": "503-258-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "IGNATIUS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-25",
"last_updated": "2012-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.