Active NPI
Tanya Elizabeth Carter, D.O.
- Family Medicine Physician
- Tigard, OR
National Provider Identifier
1528031630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO22368
- Practice address
- 9385 SW Locust St # DT
Tigard, OR 97223-6632 - Phone
- (503) 244-4268
- Fax
- (503) 244-4261
- NPI assigned
- Feb 9, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO22368 | OR | Primary |
Addresses
Primary practice location
9385 SW Locust St # DT
Tigard, OR 97223-6632
Mailing address
9385 SW Locust St
Tigard, OR 97223-6632
Phone (503) 244-4268
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130335 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO22368 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Shepherd Health Care System | Current | Accepting new patients | |
| Good Shepherd Health Care System | Current | Accepting new patients | |
| Virginia Garcia Memorial Health Center | Current | Accepting new patients | |
| Pacific Medical Group, PC | Past | Accepting new patients | |
| Fisher Chiropractic, D.C., P.C. | Past | Accepting new patients | |
| Family Healthpartners, LLC | Past | Accepting new patients |
Locations
2725 SW Cedar Hills Blvd
Ste 200
Beaverton, OR 97005
Phone (503) 352-6000
600 NW 11th St
Ste E37
Hermiston, OR 97838
Phone (541) 567-5305
610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400
226 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 601-7385
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61288
- tcarter258366@direct.ochin.org
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 and National Provider Directory roles.
-
- Critical Access Hospital
- Hermiston, OR
- NPI 1295789667
-
- Federally Qualified Health Center (FQHC)
- Cornelius, OR
- NPI 1679528012
-
- Pediatrics Physician
- Hermiston, OR
- NPI 1336198159
-
- Primary Care Clinic/Center
- Portland, OR
- NPI 1225150311
-
- Chiropractor
- Tigard, OR
- NPI 1407007081
-
- Clinic/Center
- Lake Oswego, OR
- NPI 1477636561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426032000000",
"number": "1528031630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9385 SW LOCUST ST",
"city": "TIGARD",
"state": "OR",
"postal_code": "972236632",
"telephone_number": "503-244-4268",
"fax_number": "503-244-4261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9385 SW LOCUST ST # DT",
"city": "TIGARD",
"state": "OR",
"postal_code": "972236632",
"telephone_number": "503-244-4268",
"fax_number": "503-244-4261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "TANYA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-09",
"last_updated": "2015-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "DO22368",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130335",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.