EUGENE PEDIATRIC ASSOCIATES (NPI# 1477912889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477912889 |
| Entity Type | Organization |
| Organization Name | EUGENE PEDIATRIC ASSOCIATES |
| Practice Address |
995 Willagillespie Rd Suite 100 Eugene OR 97401-2186 |
| Practice Telephone | 5412469106 |
| Practice Fax Number | 5413437360 |
| Mailing Telephone | 5412469106 |
| Mailing Fax Number | 5413437360 |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |
| Authorized Official Name | MARYANN POTTER (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 5412469106 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
OR | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | EUGENE PEDIATRIC ASSOCIATES | 995 Willagillespie Rd #100, Eugene, OR 97401 |
| Oregon Corporations, Companies and Business Names | EUGENE PEDIATRIC ASSOCIATES, LLC. | 995 Willagillespie Rd Ste 100, Eugene, OR 97401 |
| Street Address |
995 WILLAGILLESPIE RD SUITE 100 |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-2186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641447 | W. Gray Grieve | Dentist | 995 Willagillespie Rd, Suite 400, Eugene, OR 97401-2186 | 2005-07-05 |
| 1063769586 | Nancy Kathryn Ravitch | Psychologist | 995 Willagillespie Rd, Suite 100, Eugene, OR 97401-2186 | 2012-08-15 |
| 1760647705 | Robert L Velarde | Pediatrics | 995 Willagillespie Rd, #100, Eugene, OR 97401-2186 | 2008-07-18 |
| 1629266374 | David S Miller Md | Pediatrics | 995 Willagillespie Rd, Ste 200, Eugene, OR 97401-2170 | 2007-10-09 |
| 1083788780 | Julie Lynn Penton | Nurse Practitioner | 995 Willagillespie Rd, Suite #100, Eugene, OR 97401-2186 | 2006-11-17 |
| 1659442960 | Eugene Pediatric Associates LLC | Pediatrics | 995 Willagillespie Rd, Suite 100, Eugene, OR 97401-2186 | 2006-11-10 |
| 1790863041 | Oregon Ear, Nose and Throat, P.C. | Otolaryngology | 995 Willagillespie Rd, Suite 300c, Eugene, OR 97401-2186 | 2006-11-02 |
| 1780765099 | Sonus-usa, Inc. | Audiologist-Hearing Aid Fitter | 995 Willagillespie Rd, Suite 300, Eugene, OR 97401-2186 | 2006-10-17 |
| 1114023793 | Jennifer A. Mauro | Psychologist | 995 Willagillespie Rd, Suite 100, Eugene, OR 97401-2186 | 2006-09-15 |
| 1114918067 | David Scott Miller | Pediatrics | 995 Willagillespie Rd, Ste 200, Eugene, OR 97401-2170 | 2005-10-31 |
| 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 | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457703241 | Hale Men's Clinic, LLC | Clinic/Center | 1410 Oak St, Suite 101, Eugene, OR 97401-4604 | 2016-07-06 |
| 1326456096 | Active Chiropractic | Clinic/Center | 2401 River Rd, Suite, Eugene, OR 97404-5414 | 2014-07-25 |
| 1215194980 | Andrea L. Halliday, M.d., P.C. | Clinic/Center | 1410 Oak St, Eugene, OR 97401-4604 | 2008-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225665623 | Onlinevisit LLC | Clinic/Center | 2024 Sw Howards Way Apt 501, Portland, OR 97201-7726 | 2020-03-25 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1801452818 | Everybody Wellness, LLC | Clinic/Center | 2143 Ne Broadway St Ste 9, Portland, OR 97232-1512 | 2019-05-15 |
| 1801451737 | Cephus Chiropractic LLC | Clinic/Center | 19755 Sw Tv Hwy, Aloha, OR 97003-2338 | 2019-05-06 |
| 1467934661 | Columbia River Health-pendleton High School Sbhc | Clinic/Center | 1800 Nw Carden Ave, Pendleton, OR 97801-1185 | 2018-09-04 |
| 1639651839 | Columbia River Health-sunridge Middle School Sbhc | Clinic/Center | 700 Sw Runnion Ave, Pendleton, OR 97801-9418 | 2018-09-04 |
| 1114433802 | Thriving Acupuncture | Clinic/Center | 1708 Nw 25th Ave Apt 6, Portland, OR 97210-2435 | 2017-12-18 |
| 1538681408 | Golden Ribbon Acupuncture, LLC | Clinic/Center | 1217 Ne Burnside Rd Ste 701, Gresham, OR 97030-5770 | 2017-07-12 |
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1417484460 | Be Well Acupuncture | Clinic/Center | 3125 Ne Holladay St # B, Portland, OR 97232-2504 | 2017-05-20 |
| Find all providers with the same taxonomy | ||||
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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.