Carolyn Minter is a Geriatric Medicine (Internal Medicine) Physician practicing in Portland, Oregon. The National Provider Identifier (NPI) is #1710307608, which was assigned on April 18, 2014, and the registration record was last updated on June 18, 2021. The practitioner's main practice location is at 2222 Nw Lovejoy St Ste 315, Portland, OR 97210-5101; the contact telephone number is 5034138018, and the fax number is 5034138011. The primary taxonomy of Carolyn Minter is Geriatric Medicine (Internal Medicine) Physician (207RG0300X), with specialization in Geriatric Medicine. Carolyn Minter is licensed to practice in the state of Oregon (#MD186390), Oregon (#MD186390).
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
| NPI | 1710307608 |
| Entity Type | Individual |
| Provider Name | CAROLYN MINTER |
| Other Name |
CAROLYN HANKINS (Former Name) |
| Gender | Female |
| Credential | MD |
| Other Credential | MD |
| Practice Address |
2222 Nw Lovejoy St Ste 315 Portland OR 97210-5101 |
| Practice Telephone | 5034138018 |
| Practice Fax Number | 5034138011 |
| Mailing Address |
1650 Nw Naito Pkwy Ste 185 Portland OR 97209-2535 |
| Mailing Telephone | 9719835260 |
| Mailing Fax Number | 9719835326 |
| Certification Date | 2021-06-18 |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2021-06-18 |
| Is Sole Proprietor | N |
| PAC ID |
7416273131 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | CAROLYN MARIE MINTER |
| Primary Specialty | GERIATRIC MEDICINE |
| Organization Legal Name | PACMED CLINICS |
| Address |
1909 214th St Se Suite 300 Bothell WA 98021-4418 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD186390 | OR | ||
| Y | 207RG0300X | Internal Medicine | Geriatric Medicine | MD186390 | OR |
| Address | Telephone | Fax |
|---|---|---|
| 1330 Rockefeller Ave Ste 210, Everett, WA 982011676 | 4252614940 | 4252614932 |
| 1330 Rockefeller Ave Ste 210, Everett, WA 982011676 | 4252614940 ext. | 4252614932 |
| 2800 N Vancouver Ave Ste 230, Portland, OR 972271668 | 5034134340 | 5034134898 |
| 2800 N Vancouver Ave Ste 230, Portland, OR 972271668 | 5034134340 ext. | 5034134898 |
| Code | 207RG0300X |
| Taxonomy | Geriatric Medicine (Internal Medicine) Physician |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| Classification | Internal Medicine |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| At Home Harmony of South Carolina PC | 1504 Santa Rosa Rd Rm 114, Henrico, VA 23229-5109 | Geriatric Medicine (Internal Medicine) Physician | 2024-03-28 |
| Edelweiss Senior Care PLLC | 4995 W 11200 N, Highland, UT 84003-9411 | Geriatric Medicine (Internal Medicine) Physician | 2024-01-25 |
| Geriatric Associates of Richmond Inc | 5310 Twin Hickory Rd, Glen Allen, VA 23059-5783 | Geriatric Medicine (Internal Medicine) Physician | 2024-02-12 |
| Synergy Rehab PC | 3225 Shallowford Rd Ste 500, Marietta, GA 30062-7024 | Geriatric Medicine (Internal Medicine) Physician | 2024-03-18 |
| Munson Medical Group | 5041 N Royal Dr, Traverse City, MI 49684-6986 | Geriatric Medicine (Internal Medicine) Physician | 2024-02-01 |
| Hien Nguyen | 1700 Wadsworth Blvd, Lakewood, CO 80214-5256 | Geriatric Medicine (Internal Medicine) Physician | 2024-01-25 |
| Jennifer Marie Rzechula | 2563 Sw 10th St, Boynton Beach, FL 33426-7402 | Geriatric Medicine (Internal Medicine) Physician | 2024-02-27 |
| Salud 305 Corp | 10379 Sw 186th St Ste A, Cutler Bay, FL 33157-6824 | Geriatric Medicine (Internal Medicine) Physician | 2024-03-20 |
| Adult Geriatric Services of Arizona | 247 S Placita Aldaco, Tucson, AZ 85710-3733 | Geriatric Medicine (Internal Medicine) Physician | 2024-03-28 |
| Verdugo Medical Group Corp | 142 W Verdugo Ave, Burbank, CA 91502-2132 | Geriatric Medicine (Internal Medicine) Physician | 2024-03-20 |
| Find all providers with the same taxonomy | |||
| Street Address |
2222 NW LOVEJOY ST STE 315 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97210-5101 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Tyler Aaron Parkwell | 2222 Nw Lovejoy St Ste 315, Portland, OR 97210-5101 | Clinical Social Worker | 2017-12-21 |
| Dawn Alexandra Miller · Dawn Alexandra Mikelonis | 2222 Nw Lovejoy St Ste 315, Portland, OR 97210-5101 | Geriatric Medicine (Internal Medicine) Physician | 2017-03-18 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Joseph Edward Okies | 2222 Nw Lovejoy St, Suite 315, Portland, OR 97210-5101 | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 2005-08-22 |
| Mark Alan Martin | 2222 Nw Lovejoy St, Suite 315, Portland, OR 97210-5101 | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 2005-08-19 |
| Robert Louis Courtox | 2222 Nw Lovejoy St, Suite 315, Portland, OR 97210-5101 | Physician Assistant | 2005-08-11 |
| Kai Erik Engstad | 2222 Nw Lovejoy St, Suite 315, Portland, OR 97210-5101 | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 2008-03-08 |
| Pasala Sankaran Ravichandran | 2222 Nw Lovejoy St, Suite 315, Portland, OR 97210-5101 | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 2006-07-31 |
| Karen Sue Ulloth | 2222 Nw Lovejoy St, Suite 322, Portland, OR 97210-5101 | Surgery Physician | 2006-05-16 |
| Mark Wesley Haffner | 2222 Nw Lovejoy St, Suite 315, Portland, OR 97210-5101 | Surgical Physician Assistant | 2007-04-19 |
| Brett Anthony Quarles | 2222 Nw Lovejoy St, Suite 315, Portland, OR 97210-5101 | Surgical Physician Assistant | 2012-02-23 |
| Scott Edward Frazee | 2222 Nw Lovejoy St, Suite 315, Portland, OR 97210-5101 | Physician Assistant | 2008-10-30 |
| Danielle Adair Ward | 2222 Nw Lovejoy St, Suite 315, Portland, OR 97210-5101 | Surgical Physician Assistant | 2006-10-03 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Uptown Family Dental LLC | 2230 Nw Flanders St, Suite 204, Portland, OR 97210 | General Practice Dentistry | 2024-04-05 |
| Jeremy Thomas Hinton | Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 | Student in an Organized Health Care Education/Training Program | 2023-03-21 |
| Paul M Storm | 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 | Acupuncturist | 2017-11-14 |
| Karrie Silva | 2274 Nw Raleigh St., Portland, OR 97210 | Massage Therapist | 2017-03-01 |
| Joshua Hoerger | 2222 Lovejoy St., Suite 411 Building 1, Portland, OR 97210 | Internal Medicine Physician | 2016-03-19 |
| Anna-Marie Elizabeth Wood | 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 | Audiologist | 2016-10-24 |
| Liberty Blank | 164 Nw Macleay Blvd, Portland, OR 97210 | Naturopath | 2018-10-31 |
| Northwest Dbt LLC | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | Clinical Psychologist | 2019-11-27 |
| Audra K Berning | 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 | Massage Therapist | 2017-07-21 |
| Cortez Natural Medicine, Inc. · Stillpoint Wellness Center | 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 | Acupuncturist | 2016-04-21 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Carolyn Elzabeth Spolar · Carolyn Elizabeth Guzzi | 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 | Pharmacy Technician | 2008-02-15 |
| Carolyn Jean Needham · Carolyn Harnica | 1234 Plank Rd, Dundee, MI 48131-9750 | Nurse Practitioner | 2024-01-08 |
| Carolyn L Cannon · Carolyn Louise Preston | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | Pediatric Allergy/Immunology Physician | 2006-07-18 |
| Carolyn Beth Ricketts · Carolyn Elizabeth Furman | 20200 Redwood Road, Suite 16, Castro Valley, CA 94546 | Clinical Social Worker | 2014-12-30 |
| Carolyn Anne Holmes · Carolyn Cammacle | 1515 Holcombe Blvd, Houston, TX 77030-4009 | Nurse Practitioner | 2010-08-12 |
| Carolyn Louise Seifert · Carolyn L Escott | 141 Communication Dr, Hannibal, MO 63401-3670 | Psychiatry Physician | 2006-07-09 |
| Carolyn Wihera Gilessummerville · Carolyn W. Topinka Giles | 1 Jarrett White Rd, Tripler Army Medical Center Attn: Mchk-Qs, Tripler Amc, HI 96859-5001 | Clinical Psychologist | 2006-05-01 |
| Carolyn Morris Malone · Carolyn M Mcneill | 1166 K St, Brawley, CA 92227-2737 | Family Nurse Practitioner | 2006-05-02 |
| Carolyn Miller · Carolyn Marie Coll | 101 Manning Dr, Chapel Hill, NC 27514-4220 | Nurse Practitioner | 2016-03-04 |
| Carolyn Brown · Carolyn Beth Tievy | 919 University Blvd W, Silver Spring, MD 20901-1055 | Family Medicine Physician | 2019-12-29 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |