PEACEHEALTH MEDICAL GROUP (NPI# 1447207287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447207287 |
| Entity Type | Organization |
| Organization Name | PEACEHEALTH MEDICAL GROUP |
| Practice Address |
1200 Hilyard St Eugene OR 97401-8122 |
| Mailing Address |
Po Box 24410 Eugene OR 97402-0451 |
| Practice Telephone | 5416876217 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2017-04-04 |
| Authorized Official Name | LORI KETTLER (PROVIDER ENROLLMENT LEAD) |
| Authorized Official Telephone | 3607291411 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | OR | Allopathic & Osteopathic Physicians | |
| N | 208000000X | Pediatrics | OK | Allopathic & Osteopathic Physicians | |
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
OR | Allopathic & Osteopathic Physicians | |
| N | 208600000X | Surgery | OR | Allopathic & Osteopathic Physicians | |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
OR | Allopathic & Osteopathic Physicians | |
| N | 101Y00000X | Counselor | OR | Behavioral Health & Social Service Providers | |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
OR | Behavioral Health & Social Service Providers | |
| N | 106H00000X | Marriage & Family Therapist | OR | Behavioral Health & Social Service Providers | |
| N | 103T00000X | Psychologist | OR | Behavioral Health & Social Service Providers | |
| N | 104100000X | Social Worker | OR | Behavioral Health & Social Service Providers | |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
OR | Behavioral Health & Social Service Providers | |
| N | 133V00000X | Dietitian, Registered | OR | Dietary & Nutritional Service Providers | |
| N | 367A00000X | Advanced Practice Midwife | OR | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
OR | Ambulatory Health Care Facilities | |
| Y | 207Q00000X | Family Medicine | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 071634 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912013590 | Peacehealth Medical Group | Durable Medical Equipment & Medical Supplies | 430 W 7th Ave, Junction City, OR 97448-1619 | 2006-08-23 |
| 1386751758 | Peacehealth Medical Group | Durable Medical Equipment & Medical Supplies | 1200 Hilyard St Ste 200, Eugene, OR 97401-8146 | 2006-08-23 |
| 1508328840 | Peacehealth Medical Group | Durable Medical Equipment & Medical Supplies | 2484 River Rd, Eugene, OR 97404-2042 | 2019-04-04 |
| 1356806202 | Peacehealth Medical Group | Durable Medical Equipment & Medical Supplies | 2846 Willamette St, Eugene, OR 97405-8200 | 2019-02-05 |
| 1134658479 | Peacehealth Medical Group | Durable Medical Equipment & Medical Supplies | 1400 Valley River Dr Ste 110, Eugene, OR 97401-6758 | 2017-06-09 |
| 1821488891 | Peacehealth Medical Group | Durable Medical Equipment & Medical Supplies | 860 Beltline Rd, Springfield, OR 97477-1091 | 2015-01-29 |
| 1447554746 | Peacehealth Medical Group | Durable Medical Equipment & Medical Supplies | 3321 W 11th Ave, Eugene, OR 97402-3040 | 2010-12-29 |
| 1528218005 | Peacehealth Medical Group | Durable Medical Equipment & Medical Supplies | 3377 Riverbend Dr, Springfield, OR 97477 | 2008-09-22 |
| 1881860856 | Peacehealth Medical Group | Clinic/Center | 353 Deadmond Ferry Rd, Springfield, OR 97477-9406 | 2008-04-30 |
| 1386814333 | Peacehealth Medical Group | Eyewear Supplier (Equipment, not the service) | 1162 Willamette St, Eugene, OR 97401-3568 | 2008-03-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PEACEHEALTH MEDICAL GROUP | 1200 Hilyard St, Eugene, OR 97401 |
| Oregon Corporations, Companies and Business Names | PEACEHEALTH MEDICAL GROUP - COTTAGE GROVE | 1515 Village Dr, Cottage Grove, OR 97424 |
| Oregon Corporations, Companies and Business Names | PEACEHEALTH MEDICAL GROUP - CRESWELL | 98 W Oregon Ave, Creswell, OR 97426 |
| Oregon Corporations, Companies and Business Names | PEACEHEALTH MEDICAL GROUP - DEXTER | 38843 Dexter Rd, Dexter, OR 97431 |
| Oregon Corporations, Companies and Business Names | PEACEHEALTH MEDICAL GROUP - SOUTH | 3299 Hilyard St, Eugene, OR 97405 |
| Oregon Corporations, Companies and Business Names | PEACEHEALTH MEDICAL GROUP-SIUSLAW | 380 Ninth St, Florence, OR 97439 |
| Street Address |
1200 HILYARD ST |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-8122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649275181 | Mattox L Purvis,jr. | Specialist | 1200 Hilyard St, Ste 470, Eugene, OR 97401-8107 | 2005-06-20 |
| 1184278814 | Nicole E Newall | Counselor | 1200 Hilyard St, Eugene, OR 97401-8122 | 2019-07-31 |
| 1831665397 | Melody Celeste Kahane | Audiologist | 1200 Hilyard St, Eugene, OR 97401-8122 | 2018-10-22 |
| 1790285112 | Eleanor Flora Soleil | Peer Specialist | 1200 Hilyard St, Eugene, OR 97401-8122 | 2018-02-13 |
| 1730698572 | Yasmine Kahvaz | Counselor | 1200 Hilyard St, Eugene, OR 97401-8122 | 2017-09-25 |
| 1720507650 | Alison N. Gerdts | Counselor | 1200 Hilyard St, Eugene, OR 97401-8122 | 2017-09-12 |
| 1548788722 | Karen Ann Clark | Counselor | 1200 Hilyard St, Eugene, OR 97401-8122 | 2017-09-07 |
| 1316477276 | Brett Bogyo Barnes | Counselor | 1200 Hilyard St, Eugene, OR 97401-8122 | 2017-06-14 |
| 1306397666 | Shirley Ann Spencer | Counselor | 1200 Hilyard St, Eugene, OR 97401-8122 | 2016-10-20 |
| 1639528573 | Kimberly Lawrence | Counselor | 1200 Hilyard St, Suite 450, Eugene, OR 97401-8122 | 2016-06-10 |
| 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.