SYNERGY MEDICAL SYSTEMS, LLC (NPI# 1811500705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811500705 |
| Entity Type | Organization |
| Organization Name | SYNERGY MEDICAL SYSTEMS, LLC |
| Practice Address |
19365 Sw 65th Ave Ste 210 Tualatin OR 97062-9196 |
| Mailing Address |
1710 Willow Creek Cir Eugene OR 97402-9192 |
| Practice Telephone | 5038859448 |
| Practice Fax Number | 5038859398 |
| Mailing Telephone | 5413433758 |
| Mailing Fax Number | 5413423341 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Authorized Official Name | BRIAN BAUMGARTNER (CEO) |
| Authorized Official Telephone | 5413433758 |
| Is Organization Subpart | Y |
| Parent Organization Name | SYNERGY MEDICAL SYSTEMS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982172540 | Synergy Medical Systems, LLC | Durable Medical Equipment & Medical Supplies | 2200 Ne Neff Rd Ste 102, Bend, OR 97701-4280 | 2018-11-12 |
| 1225421191 | Synergy Medical Systems, LLC | Durable Medical Equipment & Medical Supplies | 4050 Lake Otis Pkwy Ste 207, Anchorage, AK 99508 | 2015-03-16 |
| 1073613816 | Synergy Medical Systems, LLC | Durable Medical Equipment & Medical Supplies | 1710 Willow Creek Cir, Suite 1, Eugene, OR 97402 | 2006-09-22 |
| 1225306889 | Synergy Medical Systems, LLC | Physiological Laboratory | 2650 Suzanne Way, Suite 130, Eugene, OR 97408-7319 | 2011-12-09 |
| 1144558172 | Synergy Medical Systems, LLC | Durable Medical Equipment & Medical Supplies | 34310 9th Ave S Ste 104, Federal Way, WA 98003 | 2009-12-02 |
| 1720235070 | Synergy Medical Systems, LLC | Durable Medical Equipment & Medical Supplies | 55 Coburg Rd, Suite 106, Eugene, OR 97401-2433 | 2008-08-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SYNERGY MEDICAL SYSTEMS, LLC | 1710 Willow Creek Circle Ste 1, Eugene, OR 97402 |
| Street Address |
19365 SW 65TH AVE STE 210 |
| City | TUALATIN |
| State | OR |
| Zip Code | 97062-9196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467018739 | Activeedge Tualatin, LLP | Physical Therapist | 19150 Sw 90th Avenue, Suite 200, West Linn, OR 97062 | 2019-05-13 |
| 1932607934 | Naturalways Pediatrics | Clinic/Center | 18813 Sw Martiazzi Ave, Tualatin, OR 97062 | 2018-01-25 |
| 1831646280 | Elizabeth Erin Tafesse | Behavioral Analyst | 18765 Sw Boones Ferry Rd Suite 100, Tualatin, OR 97062 | 2016-09-01 |
| 1962851311 | Ana Mercedes Cerritos-sanchez | Community Health Worker | 19355 Sw 65th Ave Apt A5, Tualatin, OR 97062 | 2016-06-07 |
| 1952759318 | William Luke Summers | Counselor | 18840 Southwest Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2016-05-26 |
| 1730536913 | Krystle Alligood | Behavioral Analyst | 18768 Sw Boones Ferry Road, Tualatin, OR 97062 | 2016-05-18 |
| 1760869739 | Oregon City Medical Nw, Inc | Clinic/Center | 6464 Sw Borland Road #d-4, Tualatin, OR 97062 | 2015-04-29 |
| 1396148904 | Tracy Filley | Clinical Nurse Specialist | 18840 Sw Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2014-09-28 |
| 1043646474 | Michelle Lords | Registered Nurse | 7668 Sw Mohawk Street, Tualatin, OR 97062 | 2013-09-17 |
| 1871930750 | Sharon Ruth Frank | Social Worker | 7668 Sw Mohawk St., Aps Healthcare, Tualatin, OR 97062 | 2013-05-31 |
| Find all providers in zip 97062 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881007607 | Shannon Levin | Prosthetic/Orthotic Supplier | 441 Union St Ne, Salem, OR 97301-2458 | 2014-06-09 |
| 1174892640 | Cognitive Harmonics, Inc | Prosthetic/Orthotic Supplier | 2104 Hill Way, Medford, OR 97504-6208 | 2011-12-29 |
| 1841581717 | Pacific Footwear Company Inc | Prosthetic/Orthotic Supplier | 1150 Knutson Ave, Suite 12, Medford, OR 97504-3100 | 2011-04-27 |
| 1417257742 | A Step Forward LLC | Prosthetic/Orthotic Supplier | 744 Hawthorne Ave Ne, Salem, OR 97301-4675 | 2010-11-03 |
| 1467783761 | Elliott Pedorthic Care LLC | Prosthetic/Orthotic Supplier | 85084 Kensington Dr, Pleasant Hill, OR 97455-9621 | 2010-01-26 |
| 1780836049 | Angel Hair Foundation Inc | Prosthetic/Orthotic Supplier | 2783 Suncrest Ave, Eugene, OR 97405-5923 | 2008-10-17 |
| 1295986065 | Mirage Hair Systems, Inc. | Prosthetic/Orthotic Supplier | Suite 210 Oakway Ctr, Suite 210, Eugene, OR 97401-5618 | 2008-10-09 |
| 1457517138 | Genesis Medical Group, LLC. | Prosthetic/Orthotic Supplier | 16679 Boones Ferry Rd Ste 215, Lake Oswego, OR 97035-4368 | 2008-08-01 |
| 1518148105 | Paradox Walkfit Inc. | Prosthetic/Orthotic Supplier | 15532 Sw Pacific Hwy, Suite C1a, Tigard, OR 97224-3598 | 2007-11-24 |
| 1821286501 | Willamette Orthotics & Prosthetics LLC | Prosthetic/Orthotic Supplier | 333 Nw Larch Ave Ste 1, Redmond, OR 97756-1359 | 2007-10-09 |
| Find all providers with the same taxonomy | ||||
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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.