Barts Shoe Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BARTS SHOE CORP

Doing business as

Jays Wide Shoes

Practice address

8974 SE Sunnyside Rd
Clackamas, OR 97015-7779

Phone

(503) 654-2888

Fax

(503) 654-2888

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Alan Barthold, C-PED

Title

Owner

Phone

(503) 641-5199

Specialties & licenses 1

Addresses

Other names 1

• Jays Wide Shoes Doing business as

Locations

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1861569410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8974 SE SUNNYSIDE RD",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970157779",
            "telephone_number": "503-654-2888",
            "fax_number": "503-654-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8974 SE SUNNYSIDE RD",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970157779",
            "telephone_number": "503-654-2888",
            "fax_number": "503-654-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARTS SHOE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "BARTHOLD",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-641-5199",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C-PED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jays Wide Shoes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Bartlemus, L.M.F.T.
• George Nicholas Barton, M.D.
• Jeffrey Scott Barton, M.D.
• Karen L Barton, RPH
• Tracy Barton, RPH
• Caitlin Bascara
• Matthew G Basco, MD
• Claudene M Baska, RRT
• Shane Jackson Bass
• Lyudmila Batazhan, RDH

• Durable Medical Equipment & Medical Supplies in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Durable Medical Equipment & Medical Supplies in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.