DIGITRACE CARE SERVICES (NPI# 1598942989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598942989 |
| Entity Type | Organization |
| Organization Name | DIGITRACE CARE SERVICES |
| Practice Address |
11790 Sw Barnes Rd Suite 330 Portland OR 97225-5934 |
| Mailing Address |
60 Chastain Center Blvd Nw Suite 66 Kennesaw GA 30144-5598 |
| Practice Telephone | 9785367400 |
| Mailing Telephone | 7705925544 |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2009-10-15 |
| Authorized Official Name | CARL IBERGER (EVP/CFO) |
| Authorized Official Telephone | 9785367400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 7618325 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396896296 | Digitrace Care Services | Clinic/Center | 11250 Corporate Ave, Lenexa, KS 66219-1392 | 2007-01-16 |
| 1558439232 | Digitrace Care Services | Clinic/Center | 18-3 E Dundee Rd, Suite 206, Barrington, IL 60010-5292 | 2006-12-01 |
| 1033340294 | Digitrace Care Services | Durable Medical Equipment & Medical Supplies | 7635 W Oklahoma Ave, 105, Milwaukee, WI 53219-3600 | 2009-08-05 |
| 1245417963 | Digitrace Care Services | Durable Medical Equipment & Medical Supplies | 907 Mar Walt Dr, Suite 2021, Fort Walton Beach, FL 32547-6960 | 2008-01-24 |
| 1649390758 | Digitrace Care Services | Clinic/Center | 130 2nd St, Neenah, WI 54956-2883 | 2007-03-30 |
| 1710007885 | Digitrace Care Services | Durable Medical Equipment & Medical Supplies | 60 Chastain Center Blvd Nw, Suite 66, Kennesaw, GA 30144-5598 | 2007-03-30 |
| 1023040854 | Digitrace Care Services | Clinic/Center | 200 Corporate Pl, Suite 5b, Peabody, MA 01960-3840 | 2006-07-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | DIGITRACE CARE SERVICES INC. | 1950 Lake Park Dr Se Bldg 1900, Smyrna, Georgia 30080-7648 |
| Connecticut Business Registrations | DIGITRACE CARE SERVICES, INC. | 200 Corporate Place, Suite 5b, Peabody, MA 01960 |
| New York State Corporations | DIGITRACE CARE SERVICES, INC. | 80 State Street, Albany, Ny 122072543 |
| Massachusetts Corporations | DIGITRACE CARE SERVICES, INC. | 200 Corporate Place, Suite 5b, Peabody, MA 01960 |
| Colorado Business Entities | DIGITRACE CARE SERVICES, INC. | 286 Congress St, Boston, MA 02110 |
| Street Address |
11790 SW BARNES RD SUITE 330 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-5934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225141823 | Gregory Lynn Clark | Specialist | 11790 Sw Barnes Rd, Suite 330, Portland, OR 97225-5934 | 2006-08-16 |
| 1124565346 | Natura Family Medicine | Clinic/Center | 11790 Sw Barnes Rd, Suite 120, Portland, OR 97225-5934 | 2017-01-25 |
| 1235548066 | Kristen Yu | Dentist | 11790 Sw Barnes Rd, Building A Suite 280, Portland, OR 97225-5934 | 2014-08-06 |
| 1558644088 | Lauren Brooke Manning | Dentist | 11790 Sw Barnes Rd, Suite 260, Portland, OR 97225-5934 | 2011-09-21 |
| 1033423371 | Pediatric Urgent Care LLC | Clinic/Center | 11790 Sw Barnes Rd, Ste. 140, Portland, OR 97225-5934 | 2010-07-28 |
| 1083855175 | Gerald B Rich, Md, PC | Internal Medicine | 11790 Sw Barnes Rd, Suite 330, Portland, OR 97225-5934 | 2009-03-19 |
| 1194987206 | Integrative Pediatrics LLC | Pediatrics | 11790 Sw Barnes Rd, Suite 140, Portland, OR 97225-5934 | 2008-06-30 |
| 1265621593 | Sleepmed Therapies, Inc | Durable Medical Equipment & Medical Supplies | 11790 Sw Barnes Rd, Suite 330, Portland, OR 97225-5934 | 2007-10-23 |
| 1124216429 | Sleepmed Oregon, LLC | Clinic/Center | 11790 Sw Barnes Rd, Suite 330, Portland, OR 97225-5934 | 2007-10-11 |
| 1285723676 | Michelle Y Skierkowski | Dentist | 11790 Sw Barnes Rd, 280, Portland, OR 97225-5934 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730794181 | Wound Pros Oregon | Durable Medical Equipment & Medical Supplies | 10260 Sw Greenburg Road 4th Floor, Portland, OR 97223-5500 | 2020-09-12 |
| 1881209385 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12555 Nw Cornell Rd, Portland, OR 97229-5683 | 2020-09-11 |
| 1184260325 | Pacific O&p LLC | Durable Medical Equipment & Medical Supplies | 1050 Sw 6th Ave Ste 1100, Portland, OR 97204-1153 | 2019-11-22 |
| 1508417247 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 165 Lancaster St Ste P, Portland, ME 04101-2406 | 2019-09-24 |
| 1386294379 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8145 Se 17th Ave, Portland, OR 97202-6718 | 2019-09-12 |
| 1346899721 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 345 Sw Harrison St, Portland, OR 97201-5364 | 2019-09-09 |
| 1841753050 | Regional Home Care Inc. | Durable Medical Equipment & Medical Supplies | 190 Riverside St Unit 2b, Portland, ME 04103-1073 | 2019-04-14 |
| 1154889137 | Julie Marie Conaway | Durable Medical Equipment & Medical Supplies | 1302 Wildcat Dr, Portland, TX 78374-2812 | 2019-03-08 |
| 1225503188 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3036 Ne Martin Luther King Jr Blvd Ste 136, Portland, OR 97212-3053 | 2018-10-08 |
| 1588140321 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3031 Se Powell Blvd, Portland, OR 97202-1955 | 2018-07-16 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.