Active NPI
Andrea Rose Tremaine, MD
- Family Medicine Physician
- Tigard, OR
National Provider Identifier
1952735086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ML60395197
- Practice address
- 16083 SW Upper Boones Ferry Rd Ste 130
Tigard, OR 97224-7737 - Phone
- (503) 603-9087
- Fax
- (503) 603-9122
- NPI assigned
- Aug 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ML60395197 | WA | Primary |
Addresses
Primary practice location
16083 SW Upper Boones Ferry Rd Ste 130
Tigard, OR 97224-7737
Mailing address
16083 SW Upper Boones Ferry Rd Ste 130
Tigard, OR 97224-7737
Phone (503) 603-9087
Other practice location 1
100 E 33rd St
Ste 100
Vancouver, WA 98663-2776
Phone (360) 514-7550
Other names 1
- Andrea Rose Cathers
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161116002924 | OR | Practitioner - Family Practice | 7416177951 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ML60395197 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fornance Physician Services, Inc. | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- andrea.tremaine@897273817595908.direct.elationemr.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Emergency Group Fornance
- Family Medicine Physician
- Norristown, PA
- NPI 1013997386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537747200000",
"number": "1952735086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16083 SW UPPER BOONES FERRY RD STE 130",
"city": "TIGARD",
"state": "OR",
"postal_code": "972247737",
"telephone_number": "503-603-9087",
"fax_number": "503-603-9122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16083 SW UPPER BOONES FERRY RD STE 130",
"city": "TIGARD",
"state": "OR",
"postal_code": "972247737",
"telephone_number": "503-603-9087",
"fax_number": "503-603-9122"
}
],
"practiceLocations": [
{
"address_1": "100 E 33rd St",
"address_2": "Ste 100",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986632776",
"country_code": "US",
"telephone_number": "360-514-7550",
"fax_number": "360-514-7553",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TREMAINE",
"first_name": "ANDREA",
"middle_name": "ROSE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-26",
"last_updated": "2018-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "ML60395197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "CATHERS",
"middle_name": "ROSE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.