Active NPI
William A Carr, MD
- Specialist
- Portland, OR
National Provider Identifier
1487198263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD10122
- Practice address
- 6900 SW Atlanta St.
BLDG. 2, Suite 120
Portland, OR 97223 - Phone
- (503) 684-3988
- Fax
- (503) 684-6077
- NPI assigned
- Dec 13, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MD10122 | OR | Primary |
Addresses
Primary practice location
6900 SW Atlanta St.
BLDG. 2, Suite 120
Portland, OR 97223
Mailing address
6900 SW Atlanta St.
BLDG. 2, Suite 120
Portland, OR 97223
Phone (503) 684-3988
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD10122 | OR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Medical Evaluations, Inc. | Past | Accepting new patients | |
| Nerve and Pain Institute LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Tigard, OR
- NPI 1164047486
-
- Case Management Agency
- Portland, OR
- NPI 1518195742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481587200000",
"number": "1487198263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6900 SW ATLANTA ST.",
"address_2": "BLDG. 2, SUITE 120",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97223",
"telephone_number": "503-684-3988",
"fax_number": "503-684-6077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 SW ATLANTA ST.",
"address_2": "BLDG. 2, SUITE 120",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97223",
"telephone_number": "503-684-3988",
"fax_number": "503-684-6077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "WILLIAM",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-12-13",
"last_updated": "2016-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "MD10122",
"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 Dec 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.