Carol A Squyres, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD28002 Issued in OR

Practice address

16770 SW Edy Rd
Ste 102
Sherwood, OR 97140-9678

Phone

(503) 215-9600

NPI assigned

Sep 28, 2006

Last updated

Dec 16, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: csquyres102766@oc.providencedirect.org

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387152000000",
    "number": "1689765067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158",
            "telephone_number": "503-215-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16770 SW EDY RD",
            "address_2": "STE 102",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409678",
            "telephone_number": "503-215-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUYRES",
        "first_name": "CAROL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2013-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD28002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279313",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guljit S Sodhi, MD
• Sarah Sommerville, MA
• Gerardo RJ Sosa
• Lindsay Megan Sparks, M.D.
• Sparrow Dental LLC
• Jason Stanley, PT
• Ian Stettler
• Hwayoung P Stouffer, RN, BSN, MA
• Stratos Group LLC (Evolve Physical Therapy)
• Stratos Group LLC (Evolve Physical Therapy)

• Pediatrics Physician in Sherwood, OR
• Providers in Sherwood, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.