Carolyn Emerick, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD208749 Issued in OR

Practice address

10690 NE Cornell Rd Ste 220
Hillsboro, OR 97124-9224

Phone

(503) 848-5861

NPI assigned

May 22, 2013

Last updated

Apr 13, 2022By 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 2

Addresses

Other identifiers 2

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

Specialty

Family Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neighborhood Health CenterGroup PAC ID 8426227893, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence St Vincent Medical Center Hospital, Portland, OR, CCN 380004

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neighborhood Health Center

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1174820815

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Neighborhood Health Center

  • Federally Qualified Health Center (FQHC)
  • Hillsboro, OR
  • NPI 1356725998

  Family Medicine

  NPD
• Neighborhood Health Center

  dba NHC Oregon City Medical

  • Federally Qualified Health Center (FQHC)
  • Oregon City, OR
  • NPI 1457902561

  Family Medicine

  NPD
• Neighborhood Health Center

  • Federally Qualified Health Center (FQHC)
  • Milwaukie, OR
  • NPI 1083984264

  Family Medicine

  NPD (past)
• Lone Star Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Willis, TX
  • NPI 1013380708

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Providence Health & Services - Oregon

  dba Providence St Vincent Medical Center

  • General Acute Care Hospital
  • Portland, OR
  • NPI 1114015971
  Care Compare affiliation

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1750727327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 SW HUNZIKER RD STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972232302",
            "telephone_number": "503-941-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10690 NE CORNELL RD STE 220",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971249224",
            "telephone_number": "503-848-5861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERICK",
        "first_name": "CAROLYN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-22",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD208749",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q6625",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3605883-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500803203",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naeema Elmi, MD
• Nehad Elrody, RPH
• Justin D Elson, DMD
• Emergency Dentist of Hillsboro PC
• Emergency Tooth Doctor Hillsboro, Prof. Corp. (Emergency Tooth Doctor Hillsboro)
• Marissa Emery, LMT
• Emi K Oda, LMT
• Empowered 2 Thrive, LLC
• Kelsey Enderby, QMHA
• Jenny Kha Eng

• Family Medicine Physician in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.