NPIMap

Organization Active NPI

Minimed Distribution Corp.

  • Durable Medical Equipment & Medical Supplies
  • Lake Oswego, OR
National Provider Identifier
1396984977
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MINIMED DISTRIBUTION CORP.
Practice address
5665 SW Meadows Rd
Suite 100
Lake Oswego, OR 97035-3159
Phone
(800) 646-4633
Fax
(818) 576-6228
NPI assigned
Feb 5, 2009
Organization subpart
Yes
Parent organization
MINIMED DISTRIBUTION CORP.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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

Authorized official

Name
Angela E Ward
Title
Senior Compliance Specialist
Phone
(804) 262-6492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

5665 SW Meadows Rd
Suite 100
Lake Oswego, OR 97035-3159

Mailing address

18000 Devonshire St
Attn: Angela Ward
Northridge, CA 91325-1219
Phone (800) 646-4633

National Provider Directory

National Provider Directory
Tax ID family
Minimed Distribution Corp18 organizations share this tax ID, including this one
Part of
Minimed Distribution Corp

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Locations

5665 Meadows Rd
Ste 100
Lake Oswego, OR 97035
Phone (800) 646-4633

NPI Registry JSON

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1396984977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18000 DEVONSHIRE ST",
            "address_2": "ATTN: ANGELA WARD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913251219",
            "telephone_number": "800-646-4633",
            "fax_number": "818-576-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5665 SW MEADOWS RD",
            "address_2": "SUITE 100",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353159",
            "telephone_number": "800-646-4633",
            "fax_number": "818-576-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINIMED DISTRIBUTION CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MINIMED DISTRIBUTION CORP.",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SENIOR COMPLIANCE SPECIALIST",
        "authorized_official_telephone_number": "804-262-6492"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.