Cory Baird – Case Manager/Care Coordinator

Key facts

NPI: 1659833341
Entity type: Individual (NPI type 1)
Primary specialty: Case Manager/Care Coordinator 171M00000X
License: 519195 (OR)
Practice address: 706 Meadow Ave
Tillamook, OR 97141-2844
Phone: (503) 354-2523
NPI assigned: Apr 2, 2019
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

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.

Meadowland Adult Foster Home LLC Assisted Living Facility (Behavioral Disturbances) · Tillamook, OR · NPI 1508215252

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
519195	OR	MD	Case Manager/Care Coordinator

Practice roles

Organization	Specialty	Status	New patients
Meadowland Adult Foster Home LLC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Case Manager/Care Coordinator	171M00000X	519195	OR	Yes

Addresses

Primary practice location

706 Meadow Ave
Tillamook, OR 97141-2844

Mailing address

706 Meadow Ave
Tillamook, OR 97141-2844

Other identifiers

Identifier	Type	State	Issuer
519195	Other		MENTAL HEALTH ADULT FOSTE HOME PROVIDER

Electronic endpoints

Type	Endpoint	Use	Affiliation
CONNECT URL	https://www.oregon.gov/oha/HSD/AMH-LC/Pages/AFH.aspx

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 2, 2019.

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1659833341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 MEADOW AVE",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971412844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 MEADOW AVE",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971412844",
            "telephone_number": "503-354-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIRD",
        "first_name": "CORY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OR",
            "license": "519195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH ADULT FOSTE HOME  PROVIDER",
            "identifier": "519195",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.oregon.gov/oha/HSD/AMH-LC/Pages/AFH.aspx",
            "affiliation": "N",
            "address_1": "706 Meadow Ave",
            "city": "Tillamook",
            "state": "OR",
            "country_code": "US",
            "postal_code": "971412844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tillamook, OR

All providers in Tillamook, OR · Case Manager/Care Coordinator in Oregon

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.