Nancy Altamirano, MD
Individual provider Active NPI Pediatrics Physician · Coos Bay, OR
NPI 1932159159 · NPPES record last updated Aug 6, 2019
Key facts
- NPI
- 1932159159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- MD190330 (OR)
- Practice address
- 1900 Woodland Dr
Coos Bay, OR 97420-2099 - Phone
- (541) 267-5151
- Fax
- (541) 266-4566
- NPI assigned
- May 10, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Bend Medical Center Inc
Practice addresses (Care Compare)
1900 Woodland Dr
Coos Bay, OR 97420-2045
Phone (541) 267-5151
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190412001657 | OR | Practitioner - Pediatric Medicine | 0143532499 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Bend Medical Center Inc | Current |
Accepting new patients | |
| Virginia Pediatrics PC | Pediatrics | Past | Accepting new patients |
| North Bend Medical Center Inc | Past | Accepting new patients |
Locations
1900 Woodland Dr
Coos Bay, OR 97420
Phone (541) 267-5151
Interoperability endpoints
- https://api.platform.athenahealth.com/6906/brand/1/csg/1/fhir/r4
- naltamirano124229@secure.stcharleshealthcare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101056004 | VA | |
| Pediatrics Physician | 208000000X | MD190330 | OR | Yes |
Addresses
Primary practice location
1900 Woodland Dr
Coos Bay, OR 97420-2099
Mailing address
1900 Woodland Dr
Coos Bay, OR 97420-2099
Phone (541) 267-5151
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C09463 | Other | VA | GROUP PTAN |
| 500759702 | Medicaid | OR |
Other names
- Nancy Fajardo McQuilkin
Other providers in Coos Bay, OR
- Aliviar LLC
- Rebecca Jean Alldridge
- Angelica Aliado Allen
- Jennifer Emma Allred
- Michelle Almond
- Alternative Youth Activities
- Sonia Amlin
- John A Ammon
- Tracy Lynne Amonoo
- Amy Anderson
All providers in Coos Bay, OR · Pediatrics Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.