REGINA M. FIACCO (NPI# 1518934751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518934751 |
| Entity Type | Individual |
| Full Name | REGINA M. FIACCO |
| Credential | PA-C |
| Practice Address |
890 River Rd Eugene OR 97404-3233 |
| Practice Telephone | 5416880674 |
| Practice Fax Number | 5416885378 |
| Mailing Telephone | 5416880674 |
| Mailing Fax Number | 5416885378 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2017-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA158680 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA10004938 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8441628 | 05 | |
| DSHS | 8441628 | 01 | |
| WA | L&I | 221417 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871955591 | Regina Fiacco | Podiatrist | 5301 S Congress Ave, 3 South, Atlantis, FL 33462-1149 | 2016-03-22 |
| Street Address |
890 RIVER RD |
| City | EUGENE |
| State | OR |
| Zip Code | 97404-3233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891286944 | Jade Carboy | Nurse Practitioner | 890 River Rd, Eugene, OR 97404-3233 | 2018-05-24 |
| 1982029666 | Rebecca Beck | Nurse Practitioner | 890 River Rd, Eugene, OR 97404-3233 | 2014-03-04 |
| 1376884304 | Sagen Castellanos Olson | Physician Assistant | 890 River Rd, Eugene, OR 97404-3233 | 2013-03-15 |
| 1487768859 | Patricia Perkins Buchanan | Family Medicine | 890 River Rd, Eugene, OR 97404-3233 | 2006-08-19 |
| 1770698102 | Dirk G Debroekert | Physician Assistant | 890 River Rd, Eugene, OR 97404-3233 | 2006-08-19 |
| 1083651814 | River Road Medical Group | Family Medicine | 890 River Rd, Eugene, OR 97404-3233 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821503293 | Calvin Daniel Smith | Denturist | 65 Irving Rd, Eugene, OR 97404 | 2017-12-07 |
| 1053838581 | Breann Nicole Martin | Psychologist | 366 Greenfield Ave, Eugene, OR 97404 | 2017-08-25 |
| 1376071464 | Mckenzie Living, Incorporated | Custodial Care Facility | 2621 Lone Oak Way, Eugene, OR 97404 | 2017-06-01 |
| 1205382520 | Gudatu Wotcha | Counselor | 550 River Rd., Eugene, OR 97404 | 2016-08-28 |
| 1750786828 | Orion Emelio | Registered Nurse | 1366 Andersen Ln, Eugene, OR 97404 | 2014-10-30 |
| 1922407634 | Cheyenne Huddleston | Massage Therapist | 48 Irving Rd., Eugene, OR 97404 | 2014-08-19 |
| 1437593258 | Aaron Morgan Varela | Counselor | 348 Ruby Ave., Eugene, OR 97404 | 2013-04-23 |
| 1245579994 | The Eye Center LLC | Ophthalmology | 65 Division Ave Ste E, Eugene, OR 97404 | 2013-01-31 |
| 1073888251 | Zachary Newell | Mechanotherapist | 902 Travis Ave, Eugene, OR 97404 | 2012-03-20 |
| 1225301732 | Spencer Dean Moncur | Counselor | 550 Rivier Road, Eugene, OR 97404 | 2012-02-14 |
| Find all providers in zip 97404 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023483419 | Nathaniel J Collins | Physician Assistant | 1292 High St, Suite 224, Eugene, OR 97401 | 2015-12-10 |
| 1700251154 | Icco LLC | Physician Assistant | 1292 High Street, Suite 224, Eugene, OR 97401 | 2015-12-10 |
| 1972875334 | Travis Matsumoto | Physician Assistant | 920 Country Club Rd Ste 200a, Eugene, OR 97401-6086 | 2012-02-01 |
| 1801060645 | Christine Whitaker | Physician Assistant | 2868 Williamette St #100, Village Health Clinic, Eugene, OR 97405 | 2008-04-14 |
| 1962515213 | Jennifer L. Kalata | Physician Assistant | 2911 Tennyson Ave Ste 201, Eugene, OR 97408 | 2006-08-17 |
| 1780609016 | Steven Hillyer | Physician Assistant | 360 S Garden Way Ste 101, Eugene, OR 97401-8034 | 2006-07-13 |
| 1154306199 | Karen A Beer | Physician Assistant | 600 Country Club Rd, Eugene, OR 97401-2240 | 2005-12-13 |
| 1891247078 | Riccara Wright | Physician Assistant | 1800 Coburg Rd, Eugene, OR 97401-4995 | 2016-11-04 |
| 1295138444 | Jennifer Fisher | Physician Assistant | 1255 Hilyard St, Eugene, OR 97401-3718 | 2014-10-02 |
| 1376884304 | Sagen Castellanos Olson | Physician Assistant | 890 River Rd, Eugene, OR 97404-3233 | 2013-03-15 |
| Find all providers in EUGENE | ||||
Please comment or provide details below to improve the information on REGINA M. FIACCO.
| 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.