PROHEALTH FAMILY MEDICINE (NPI# 1255604690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255604690 |
| Entity Type | Organization |
| Organization Name | PROHEALTH FAMILY MEDICINE |
| Practice Address |
1410 Oak St Suite 102 Eugene OR 97401-4604 |
| Practice Telephone | 5412283270 |
| Practice Fax Number | 5412283272 |
| Mailing Telephone | 5412283270 |
| Mailing Fax Number | 5412283272 |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2012-02-15 |
| Authorized Official Name | DR. JUSTIN MONTOYA (OWNER) |
| Authorized Official Telephone | 5412283270 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD23786 | OR | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PROHEALTH FAMILY MEDICINE, LLC | 1410 Oak St Ste 102, Eugene, OR 97401 |
| Street Address |
1410 OAK ST SUITE 102 |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-4604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902800733 | Jonathan D Sherman | Neurological Surgery | 1410 Oak St, Suite 200, Eugene, OR 97401-4604 | 2005-06-09 |
| 1457703241 | Hale Men's Clinic, LLC | Clinic/Center | 1410 Oak St, Suite 101, Eugene, OR 97401-4604 | 2016-07-06 |
| 1518332915 | Northwest Neuro Nerve Monitoring | Specialist/Technologist, Other | 1410 Oak St, Ste 100b, Eugene, OR 97401-4604 | 2015-12-10 |
| 1134593064 | Valerie Jackson | Specialist/Technologist, Other | 1410 Oak St, Ste 100b, Eugene, OR 97401-4604 | 2015-11-16 |
| 1992180137 | Pax Anesthesia, LLC | Anesthesiology | 1410 Oak St, Eugene, OR 97401-4604 | 2015-07-29 |
| 1063896603 | Avante, LLC | Surgery | 1410 Oak St, Ste 101, Eugene, OR 97401-4604 | 2015-07-14 |
| 1407119886 | Allegiance Medical, Corp | Durable Medical Equipment & Medical Supplies | 1410 Oak St, Attn: Kurtis M. Doerr Allegiance Medical, LLC, Eugene, OR 97401-4604 | 2012-06-20 |
| 1841581048 | Northwest Neuro Nerve Monitoring, LLC | Technician, Other | 1410 Oak St, Suite 100b, Eugene, OR 97401-4604 | 2011-04-22 |
| 1215194980 | Andrea L. Halliday, M.d., P.C. | Clinic/Center | 1410 Oak St, Eugene, OR 97401-4604 | 2008-05-20 |
| 1992999775 | Spine Surgery Center of Eugene, LLC | Clinic/Center | 1410 Oak St, Suite 300, Eugene, OR 97401-4604 | 2007-09-05 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306344 | Emily Herrmann | Family Medicine | 1965 Alder St, Eugene, OR 97405-2937 | 2020-11-03 |
| 1891331195 | Praxis Medical Group Inc | Family Medicine | 1426 Oak Street, Eugene, OR 97401-4043 | 2019-11-21 |
| 1831643105 | Amanda Margaret Danziger | Family Medicine | 330 S Garden Way Ste 350, Eugene, OR 97401-8179 | 2016-08-04 |
| 1225304876 | Charles Baxter Woodworth I | Family Medicine | 888 West Park St., Eugene, OR 97401 | 2012-03-28 |
| 1306163910 | George Green Degner | Family Medicine | 92076 Coburg Rd, Eugene, OR 97408-9221 | 2010-04-23 |
| 1831347525 | Rodney Schaffer Md PC | Family Medicine | 400 E 2nd Ave Ste 105, Eugene, OR 97401-2452 | 2008-09-05 |
| 1306010764 | John E Sattenspiel | Family Medicine | 1800 Millrace Dr, Eugene, OR 97403-1992 | 2008-04-16 |
| 1265612329 | Kathleen K Cordes | Family Medicine | 401 E 10th Ave Ste 250, Eugene, OR 97401-3362 | 2007-11-06 |
| 1467653766 | Lawrence Lyon | Family Medicine | 1400 Mill St, Eugene, OR 97401-4259 | 2007-05-31 |
| 1861610727 | James Kenneth Jackson | Family Medicine | 1590 E 13th St., University Health Center, Eugene, OR 97403 | 2007-04-23 |
| 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.