SUSAN HOMOLKA


Address: 1670 High St, Eugene, OR 97401-4151
Phone: 5413449411

SUSAN HOMOLKA (NPI# 1174660179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174660179
Entity Type Individual
Full Name SUSAN HOMOLKA
Credential ANP
Practice Address 1670 High St
Eugene
OR 97401-4151
Mailing Address 3456 Olympic St
Springfield
OR 97478-5574
Practice Telephone 5413449411
Mailing Telephone 5417297774
Enumeration Date 2007-01-31
Last Update Date 2009-07-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
200350028NP OR Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 292793 05

Office Location

Street Address 1670 HIGH ST
City EUGENE
State OR
Zip Code 97401-4151

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386945681 Planned Parenthood of Southwestern Oregon Clinic/Center 1670 High St, Eugene, OR 97401-4151 2010-11-03
1821132978 Jacqueline Anne Barbour Obstetrics & Gynecology 1670 High St, Eugene, OR 97401-4151 2007-02-19

Providers in the same zip code

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 Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811268154 Tabitha Ann Childers Nurse Practitioner 120 Shelton Mcmurphey Blvd Ste 300, Eugene, OR 97401-8718 2012-01-18
1083787949 Gayle Ann Hand Nurse Practitioner 390 W 12th Ave, Eugene, OR 97401-3449 2006-11-16
1750351813 Joanne E Lutz Nurse Practitioner 1355 Oak St Ste 100, Eugene, OR 97401-3566 2006-01-23
1891286944 Jade Carboy Nurse Practitioner 890 River Rd, Eugene, OR 97404-3233 2018-05-24
1366997355 Natalia Hayes Nurse Practitioner 2650 Suzanne Way, Eugene, OR 97408-7319 2016-08-18
1851707814 Morgan Krista Shasteen Nurse Practitioner 1255 Hilyard St, Eugene, OR 97401-3718 2014-07-10
1467693093 James Edward Sims Nurse Practitioner 4010 Aerial Way, Eugene, OR 97402-9757 2009-03-11
1518184985 Jolene Siemsen Nurse Practitioner 1232 University of Oregon, University Health Center, Eugene, OR 97403-1205 2007-04-19
1639225006 Elizabeth Anne Hubbard Mattson Nurse Practitioner 1232 University of Oregon, Health Center, Eugene, OR 97403-1232 2007-01-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1992315972 Deborah Marie Jones Nurse Practitioner 15800 Boones Ferry Rd Ste A6, Lake Oswego, OR 97035-3426 2020-08-05
1184257115 Joanna Rae Farrell Nurse Practitioner 1650 Ne 32nd Ave Apt 425, Portland, OR 97232-3455 2020-02-18
1790241065 Autumn D Mercer Agnp-c LLC Nurse Practitioner 1075 Shayla Ln, Central Point, OR 97502-2995 2019-02-12
1023590841 Healthy At Home LLC Nurse Practitioner 3910 Ne 99th Ave, Portland, OR 97220-3620 2018-08-29
1437648946 Stephanie Michele Johnson Nurse Practitioner 3560 Se 79th Ave, Portland, OR 97206-2372 2018-05-09
1235684937 Melanie Salvador Nurse Practitioner 15352 Sw Oakmont Pl, Tigard, OR 97224 2016-08-23
1003275843 Catherine Chiaradonna Nurse Practitioner 1867 Williams Hwy Ste 226, Grants Pass, OR 97527-5856 2016-02-22
1801266119 Daniel Dominic Eric Roa Nurse Practitioner 5316 N Greeley Ave, Portland, OR 97217-4113 2015-09-29
1538578067 Karen Lee Warren Nurse Practitioner 727 S Wahanna Rd Ste 100, Seaside, OR 97138-7735 2014-08-08
1245579408 Derek Brent Kordenbrock Nurse Practitioner 625 Sw Ramsey Ave Ste A, Grants Pass, OR 97527-5808 2013-02-07
Find all providers with the same taxonomy

Competitor

Search similar providers

City EUGENE
Zip Code 97401

Improve Information

Please comment or provide details below to improve the information on SUSAN HOMOLKA.

Dataset Information

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.

Trending Searches