OAK STREET MEDICAL P.C. (NPI# 1144212499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144212499 |
| Entity Type | Organization |
| Organization Name | OAK STREET MEDICAL P.C. |
| Other Organization Name | OREGON ALLERGY ASSOCIATES |
| Practice Address |
1488 Oak St Eugene OR 97401-4043 |
| Practice Telephone | 5416831577 |
| Practice Fax Number | 5413446176 |
| Mailing Telephone | 5416831577 |
| Mailing Fax Number | 5413446176 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2011-01-06 |
| Authorized Official Name | KRAIG WARREN JACOBSON (PHYSICIAN / OWNER) |
| Authorized Official Telephone | 5416831577 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Oregon Allergy Associates | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | OAK STREET MEDICAL P.C. | 5 Oak Street, Woodmere, Ny 11598 |
| Street Address |
1488 OAK ST |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-4043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700882560 | Jonathan Bruce Stout | Family Medicine | 1488 Oak St, Eugene, OR 97401-4043 | 2005-06-24 |
| 1912353657 | Melanie Wayne | Nurse Practitioner | 1488 Oak St, Eugene, OR 97401-4043 | 2016-05-12 |
| 1407200132 | Oak Street Medical | Nurse Practitioner | 1488 Oak St, Eugene, OR 97401-4043 | 2016-04-19 |
| 1992835367 | Sarah S. Kehl | Allergy & Immunology | 1488 Oak St, Eugene, OR 97401-4043 | 2007-03-06 |
| 1043379860 | Jason Harlow Friesen | Allergy & Immunology | 1488 Oak St, Eugene, OR 97401-4043 | 2006-12-07 |
| 1144281577 | Andrew Gilchrist | Internal Medicine | 1488 Oak St, Eugene, OR 97401-4043 | 2006-03-28 |
| 1396734042 | Shehzad Jinnah | Internal Medicine | 1488 Oak St, Eugene, OR 97401-4043 | 2005-10-17 |
| 1033101324 | Lisa M Emond | Internal Medicine | 1488 Oak St, Eugene, OR 97401-4043 | 2005-08-22 |
| 1255323515 | Kraig Warren Jacobson | Allergy & Immunology | 1488 Oak St, Eugene, OR 97401-4043 | 2005-08-22 |
| 1093707366 | Kirk Douglas Jacobson | Internal Medicine | 1488 Oak St, Eugene, OR 97401-4043 | 2005-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801826516 | Justin Stephen Treat | Allergy & Immunology | 2233 Willamette St Ste F, Eugene, OR 97405-2890 | 2006-07-05 |
| 1730166828 | Richard Otis Buck | Allergy & Immunology | 2201 Willamette St, Suite C, Eugene, OR 97405-3091 | 2005-12-29 |
| 1992835367 | Sarah S. Kehl | Allergy & Immunology | 1488 Oak St, Eugene, OR 97401-4043 | 2007-03-06 |
| 1205998663 | Allergy & Asthma Center PC | Allergy & Immunology | 330 S Garden Way, Ste 150, Eugene, OR 97401-8176 | 2006-12-14 |
| 1043379860 | Jason Harlow Friesen | Allergy & Immunology | 1488 Oak St, Eugene, OR 97401-4043 | 2006-12-07 |
| 1982682811 | Lisa M Wheatley | Allergy & Immunology | 920 Country Club Rd, Ste 200a, Eugene, OR 97401-6024 | 2005-12-30 |
| 1255323515 | Kraig Warren Jacobson | Allergy & Immunology | 1488 Oak St, Eugene, OR 97401-4043 | 2005-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972075976 | Echo Allergy Care | Allergy & Immunology | 1635 Eastside Rd, Hood River, OR 97031 | 2019-01-02 |
| 1760614283 | Alexander Chan Yu | Allergy & Immunology | 14631 Sw Millikan Way Ste 60, Beaverton, OR 97003-2999 | 2009-08-17 |
| 1275776346 | Ripdeep Mangat Md, P.C. | Allergy & Immunology | 1250 Ne 3rd St Ste B100, Bend, OR 97701-3151 | 2009-04-19 |
| 1316107782 | Stark Medical, PC | Allergy & Immunology | 932 W Idaho Ave Ste 100, Ontario, OR 97914-2155 | 2008-06-10 |
| 1184804064 | Aaim Care LLC | Allergy & Immunology | 8740 Se Sunnybrook Blvd Ste 300, Clackamas, OR 97015-5737 | 2007-11-08 |
| 1487725990 | Barzin Khalili | Allergy & Immunology | 511 Sw 10th Ave Ste 1301, Portland, OR 97205-2714 | 2006-11-13 |
| 1881799963 | Stephen Bernard Fritz | Allergy & Immunology | 9200 Se 91st Ave Ste 220, Happy Valley, OR 97086-3756 | 2006-09-14 |
| 1912975574 | Raymond E Brady IIi | Allergy & Immunology | 2055 Exchange St., Suite 150, Astoria, OR 97103 | 2006-03-09 |
| 1609860774 | Fred R. Stark | Allergy & Immunology | 932 W Idaho Ave, Suite 100, Ontario, OR 97914-2155 | 2005-09-06 |
| 1437154226 | Kursteen Salter Price | Allergy & Immunology | 9701 Sw Barnes Rd Ste 130, Portland, OR 97225-6688 | 2005-06-17 |
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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.