NORTHWEST NEUROSPINE INSTITUTE, LLC (NPI# 1205080181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205080181 |
| Entity Type | Organization |
| Organization Name | NORTHWEST NEUROSPINE INSTITUTE, LLC |
| Other Organization Name | TWO RIVERS SURGICAL CENTER |
| Practice Address |
74b Centennial Loop Suite 200 Eugene OR 97401-7918 |
| Practice Telephone | 5413930925 |
| Mailing Telephone | 5413930925 |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2020-05-20 |
| Authorized Official Name | DANIEL R TASSET (VICE CHAIR, NUEHEALTH) |
| Authorized Official Telephone | 9133870510 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
071595 | OR | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Two Rivers Surgical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982644761 | Northwest Neurospine Institute, LLC | Clinic/Center | 74b Centennial Loop, Suite 200, Eugene, OR 97401-2451 | 2006-06-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | NORTHWEST NEUROSPINE INSTITUTE, LLC | 74b Centennial Lp Ste 200, Eugene, OR 97401 |
| Street Address |
74B CENTENNIAL LOOP SUITE 200 |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-7918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033192760 | Christopher George Miller | Neurological Surgery | 74b Centennial Loop, Suite 100, Eugene, OR 97401-7918 | 2005-11-28 |
| 1619362084 | Blake Kandah | Physical Medicine & Rehabilitation | 74b Centennial Loop, Eugene, OR 97401-7918 | 2015-04-02 |
| 1396049755 | Sean Fallon | Physician Assistant | 74b Centennial Loop, Suite 100, Eugene, OR 97401-7918 | 2010-12-28 |
| 1992027635 | Devon Alexis Parks | Physician Assistant | 74b Centennial Loop, Suite 100, Eugene, OR 97401-7918 | 2010-02-22 |
| 1457496705 | Gregory Anthony Moore | Pain Medicine | 74b Centennial Loop, Suite 100, Eugene, OR 97401-7918 | 2007-02-21 |
| 1033283627 | Sean T Rabacal | Physician Assistant | 74b Centennial Loop, Suite 100, Eugene, OR 97401-7918 | 2006-11-17 |
| 1053485649 | Dean Hummel | Registered Nurse | 74b Centennial Loop, Suite 100, Eugene, OR 97401-2418 | 2006-11-17 |
| 1164535985 | Kasia Van Pett, Md, PC | Surgery | 74b Centennial Loop, Suite 100, Eugene, OR 97401-7918 | 2006-08-16 |
| 1184634594 | Debra Roth | Physician Assistant | 74b Centennial Loop, Suite 100, Eugene, OR 97401-7918 | 2006-08-08 |
| 1417975178 | James G Suiter | Physician Assistant | 74b Centennial Loop, Suite 100, Eugene, OR 97401-7918 | 2006-07-18 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588181275 | Chase Gardens Surgery Center LLC | Clinic/Center | 360 S Garden Way Ste 100, Eugene, OR 97401-8173 | 2017-08-24 |
| 1063814135 | Rebecca Carroll, Md | Clinic/Center | 940 Country Club Rd, Eugene, OR 97401-2208 | 2014-09-20 |
| 1750650511 | Cascade Anesthesia Services | Clinic/Center | 743 Country Club Rd, Eugene, OR 97401-6019 | 2011-12-23 |
| 1437320017 | Oregon Eye Surgery Center, Inc. | Clinic/Center | 1550 Oak St, Eugene, OR 97401-7701 | 2008-03-21 |
| 1992999775 | Spine Surgery Center of Eugene, LLC | Clinic/Center | 1410 Oak St, Suite 300, Eugene, OR 97401-4604 | 2007-09-05 |
| 1679696157 | Orthopedic Healthcare Ancillary Services, LLC | Clinic/Center | 55 Coburg Rd, Eugene, OR 97401-2433 | 2007-04-09 |
| 1902981558 | Lane Surgery Center, LLC | Clinic/Center | 920 Country Club Rd Ste 220b, Eugene, OR 97401-6090 | 2006-10-25 |
| 1225042575 | Pacific Surgery Center LLC | Clinic/Center | 1125 Darlene Ln, Suite 201, Eugene, OR 97401-1601 | 2006-07-29 |
| 1982644761 | Northwest Neurospine Institute, LLC | Clinic/Center | 74b Centennial Loop, Suite 200, Eugene, OR 97401-2451 | 2006-06-08 |
| 1952353187 | Mckenzie Surgery Center Lp | Clinic/Center | 940 Country Club Rd, Eugene, OR 97401-2208 | 2006-05-16 |
| Find all providers in EUGENE | ||||
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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.