Individual provider Active NPI

Tanya Elizabeth Carter, D.O.

  • Family Medicine Physician
  • Tigard, OR
National Provider Identifier
1528031630
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO22368 Issued in OR
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

Updated by the provider on Mar 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
130335MedicaidOR

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111205000865 OR Practitioner - Family Practice 5890789580 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO22368ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Good Shepherd Health Care System CurrentSince Dec 24, 2017 Accepting new patients
Good Shepherd Health Care System CurrentSince Dec 24, 2017 Accepting new patients
Virginia Garcia Memorial Health Center CurrentSince Jan 5, 2026 Accepting new patients
Pacific Medical Group, PC Past Accepting new patients
Fisher Chiropractic, D.C., P.C. PastSince Oct 1, 2003 Accepting new patients
Family Healthpartners, LLC PastSince Dec 2, 2002 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

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61288
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.