NPIMap

Individual provider Active NPI

Caitlin R Maccoun, MD

  • Family Medicine Physician
  • John Day, OR
National Provider Identifier
1376906586
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD187953 Issued in OR
Practice address
180 Ford Rd
John Day, OR 97845-2009
Phone
(206) 386-6111
NPI assigned
Apr 4, 2016
Last updated
Jul 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD60938324 WA
Family Medicine Physician 207Q00000X MD187953 OR Primary

Addresses

Primary practice location

180 Ford Rd
John Day, OR 97845-2009

Mailing address

180 Ford Rd
John Day, OR 97845-2009

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address caitlin-maccoun@swcc-oregon.e-mdsdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190725001015 WA Practitioner - Family Practice 3678851946 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Wisconsin School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Public Hospital District No 2 Skagit County WashingtonGroup PAC ID 1153225198, shared by 5 NPIs, 77 clinicians

Practice addresses (Care Compare)

1211 24TH St
Anacortes, WA 98221-2562
Phone (360) 299-1350

2511 M Ave
Anacortes, WA 98221-3897
Phone (360) 299-4211

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District No 2 Skagit County Washington CurrentSince Nov 1, 2023 Accepting new patients
King County Finance CurrentSince Aug 1, 2019 Accepting new patients
King County Finance CurrentSince Aug 1, 2019 Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince Nov 1, 2023 Accepting new patients
Public Hospital District No 2 Skagit County Washington Current Accepting new patients
Public Hospital District No 2 Skagit County Washington Past Accepting new patients

Locations

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

1213 24th St
Ste 100
Anacortes, WA 98221
Phone (360) 293-3101

2511 M Ave
Ste B
Anacortes, WA 98221
Phone (360) 293-3101

7 Deye Ln
Eastsound, WA 98245
Phone (360) 293-3101

2124 4th Ave
Seattle, WA 98121
Phone (206) 296-4755

401 5th Ave
Ste 1200
Seattle, WA 98104
Phone (206) 205-5975

Interoperability endpoints

  • Direct secure messaging: cmaccoun@direct.bmh.securechart.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1376906586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 FORD RD",
            "city": "JOHN DAY",
            "state": "OR",
            "postal_code": "978452009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 FORD RD",
            "city": "JOHN DAY",
            "state": "OR",
            "postal_code": "978452009",
            "telephone_number": "206-386-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCOUN",
        "first_name": "CAITLIN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60938324",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD187953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "caitlin-maccoun@swcc-oregon.e-mdsdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "180 Ford Rd",
            "city": "John Day",
            "state": "OR",
            "country_code": "US",
            "postal_code": "978452009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in John Day, OR

Sources for this page

Verify at the official NPI Registry.