Synergy Medical Systems, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SYNERGY MEDICAL SYSTEMS, LLC

Practice address

19365 SW 65TH Ave Ste 210
Tualatin, OR 97062-9196

Phone

(503) 885-9448

Fax

(503) 885-9398

NPI assigned

Aug 28, 2020

Last updated

Aug 28, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

SYNERGY MEDICAL SYSTEMS, LLCAs reported in NPPES

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

Authorized official

Name

Brian Baumgartner

Title

Ceo

Phone

(541) 343-3758

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Synergy Medical Systems, LLC

  • Durable Medical Equipment & Medical Supplies
  • Eugene, OR
  • NPI 1073613816

  0042420481

  Same PAC ID
• Synergy Medical Systems, LLC.

  • Durable Medical Equipment & Medical Supplies
  • Wilsonville, OR
  • NPI 1275784001

  0042420481

  Same PAC ID
• Synergy Medical Systems, LLC

  • Durable Medical Equipment & Medical Supplies
  • Federal Way, WA
  • NPI 1144558172

  0042420481

  Same PAC ID
• Synergy Medical Systems, LLC

  • Durable Medical Equipment & Medical Supplies
  • Anchorage, AK
  • NPI 1225421191

  0042420481

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Synergy Medical Systems LLC6 organizations share this tax ID, including this one

Part of

Synergy Medical Systems LLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Synergy Medical Systems LLC

  dba Synergy RX

  • Community/Retail Pharmacy
  • Eugene, OR
  • NPI 1306037825
  NPD tax ID
• Synergy Medical Systems, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Coos Bay, OR
  • NPI 1396074076
  NPD tax ID
• Synergy Medical Systems Inc

  • Durable Medical Equipment & Medical Supplies
  • Federal Way, WA
  • NPI 1144493180
  NPD tax ID
• Synergy Medical Systems, LLC

  • Durable Medical Equipment & Medical Supplies
  • Federal Way, WA
  • NPI 1144558172
  NPD tax ID
• Synergy Medical Systems, LLC

  • Durable Medical Equipment & Medical Supplies
  • Anchorage, AK
  • NPI 1225421191
  NPD tax ID

Locations

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1811500705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 WILLOW CREEK CIR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974029192",
            "telephone_number": "541-343-3758",
            "fax_number": "541-342-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19365 SW 65TH AVE STE 210",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629196",
            "telephone_number": "503-885-9448",
            "fax_number": "503-885-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY MEDICAL SYSTEMS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SYNERGY MEDICAL SYSTEMS, LLC",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "BAUMGARTNER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-343-3758"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Sullivan, MS CCC-SLP
• Nancy Summers
• Summit Physical Therapy, Inc
• Meagan Sumter
• CJ Swier
• Ayuko Taaffe
• Elizabeth Tacvorian, MD
• Paul Douglas Tamura, RPH
• Andrew Tarries
• Robert Tatsumi, MD

• Prosthetic/Orthotic Supplier in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Prosthetic/Orthotic Supplier in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.