BARTS SHOE CORP (NPI# 1932375672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932375672 |
| Entity Type | Organization |
| Organization Name | BARTS SHOE CORP |
| Other Organization Name | JAYS WIDE SHOES |
| Practice Address |
4037 Sw 117th Ave Suite J Beaverton OR 97005-8900 |
| Practice Telephone | 5036270113 |
| Practice Fax Number | 5035742813 |
| Mailing Telephone | 5036270113 |
| Mailing Fax Number | 5035742813 |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2008-05-15 |
| Authorized Official Name | MR. ALAN BARTHOLD (OWNER) |
| Authorized Official Telephone | 5036415199 |
| Authorized Official Credential | C-PED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Jays Wide Shoes | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861569410 | Barts Shoe Corp | Durable Medical Equipment & Medical Supplies | 8974 Se Sunnyside Rd, Clackamas, OR 97015-7779 | 2006-11-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | BARTS SHOE CORP | Conversion 12745 Sw Beaverdam Rd, Beaverton, OR 97005-2172 |
| Street Address |
4037 SW 117TH AVE SUITE J |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97005-8900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
| 1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
| 1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
| 1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
| 1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
| 1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
| 1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| Find all providers in zip 97005 | ||||
| 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 |
|---|---|---|---|---|
| 1912418609 | Oregon Orthotic Services, Inc | Durable Medical Equipment & Medical Supplies | 8880 Sw Nimbus Ave Ste A, Beaverton, OR 97008-7111 | 2017-10-20 |
| 1073054714 | University Professional Services | Durable Medical Equipment & Medical Supplies | 9317 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-03-14 |
| 1912312729 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 18470 Sw Farmington Rd, Beaverton, OR 97007-3809 | 2014-07-01 |
| 1831504984 | 180 Medical, Inc. | Durable Medical Equipment & Medical Supplies | 7869 Sw Nimbus Ave, Space 29-e, Beaverton, OR 97008-6404 | 2014-06-27 |
| 1396010674 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 17275 Nw Cornell Rd, Beaverton, OR 97006-3297 | 2012-03-20 |
| 1134417470 | Loumar Medical Equipment Co | Durable Medical Equipment & Medical Supplies | 7980 Sw Cirrus Drive 13 F, Beaverton, OR 97008-5942 | 2011-07-20 |
| 1093024242 | Armworks Hand Therapy, LLC | Durable Medical Equipment & Medical Supplies | 15390 Nw Cornell Rd, Suite 230, Beaverton, OR 97006 | 2010-10-05 |
| 1093890071 | Accessible Solutions Elevator& Lift LLC. | Durable Medical Equipment & Medical Supplies | 8250 Sw Nimbus Ave Bldg 3, Beaverton, OR 97008-6443 | 2006-10-26 |
| 1912007980 | Lane Home Medical | Durable Medical Equipment & Medical Supplies | 3861 Sw 117th Ave, Beaverton, OR 97005-4779 | 2006-09-22 |
| 1770692055 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 12575 Southwest Walker Road, Beaverton, OR 97005-1306 | 2006-08-30 |
| Find all providers in BEAVERTON | ||||
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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.