Stephanie Carter, M.D.
Individual provider Active NPI Cardiovascular Disease Physician · Hillsboro, OR
NPI 1497997407 · NPPES record last updated Feb 15, 2018
Key facts
- NPI
- 1497997407
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- MD176680 (OR)
- Practice address
- 333 SE 7TH Ave Ste 5400
Hillsboro, OR 97123-4165 - Phone
- (503) 648-0731
- Fax
- (503) 648-0731
- NPI assigned
- Apr 6, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Warren Alpert Medical School of Brown University, 2009
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Ukiah Adventist Hospital
Coastal Cardiovascular Care Inc
Practice addresses (Care Compare)
245 Hospital Dr
Ukiah, CA 95482-4531
Phone (707) 462-3111
275 Hospital Dr
Ukiah, CA 95482-4531
Phone (707) 462-3111
700 Garden View CT
Suite 204
Encinitas, CA 92024-2478
Phone (760) 230-2256
Hospital & facility affiliations
- Adventist Health Ukiah Valley
- Bay Area Hospital
- Adventist Health Mendocino Coast
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in NY, OR, CA, IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150804003796 | NY | Practitioner - Cardiovascular Disease (Cardiology) |
5092029124 | Reassigns benefits to 2 organizations |
| I20161003002186 | OR | Practitioner - Cardiovascular Disease (Cardiology) | 5092029124 | Reassigns benefits to 1 organization |
| I20210701001977 | CA | Practitioner - Cardiovascular Disease (Cardiology) | 5092029124 | Reassigns benefits to 2 organizations |
| I20211209002596 | IA | Practitioner - Cardiovascular Disease (Cardiology) | 5092029124 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD176680 | OR | MD | Cardiovascular Disease Physician |
Practice roles (12 of 13)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuality Healthcare | Current |
Accepting new patients | |
| Western New York Medical Practice P.C. | Current |
Accepting new patients | |
| Coastal Cardiovascular Care Inc | Current |
Accepting new patients | |
| Ukiah Adventist Hospital | Current |
Accepting new patients | |
| Ukiah Adventist Hospital | Current |
Accepting new patients | |
| Tuality Medical Group LLC | Current |
Accepting new patients | |
| Tuality Healthcare | Current |
Accepting new patients | |
| Rochester General Hospital | Current |
Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Current |
Accepting new patients | |
| Scripps Health | Past | Accepting new patients | |
| The Unity Hospital of Rochester | Past | Accepting new patients |
Locations
700 Garden View Ct
Ste 204
Encinitas, CA 92024
Phone (760) 230-2256
9850 Genesee Ave
Ste 870
La Jolla, CA 92037
Phone (760) 452-6334
275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900
101 Canal Landing Blvd
Rochester, NY 14626
Phone (585) 239-7300
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
333 SE 7th Ave
Ste 5400
Hillsboro, OR 97123
Phone (503) 647-0731
335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- stephanie.carter.1@17259.direct.athenahealth.com
- stephanie.carter.1@31068.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Cardiovascular Disease Physician | 207RC0000X | MD176680 | OR | Yes |
Addresses
Primary practice location
333 SE 7TH Ave Ste 5400
Hillsboro, OR 97123-4165
Mailing address
333 SE 7TH Ave Ste 5400
Hillsboro, OR 97123-4165
Phone (503) 648-0731
Other providers in Hillsboro, OR
- Scott Ronald Carrier
- Carroll Smith
- Valerie Joy Carsey
- James Carson
- Donald Dean Carter
- Caroline M Carwood
- Jennifer Leigh Cary
- Jessica Casarotti
- Cascade Internal Medicine LLC
- Cascade Occupational Medicine Physicians Inc
All providers in Hillsboro, OR · Cardiovascular Disease Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.