JOHN MUNDALL (NPI# 1669543138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669543138 |
| Entity Type | Individual |
| Full Name | JOHN MUNDALL |
| Credential | M.D. |
| Practice Address |
1200 Hilyard St Ste S420 Eugene OR 97401-8160 |
| Practice Telephone | 5416862837 |
| Practice Fax Number | 5416870256 |
| Mailing Telephone | 5416862837 |
| Mailing Fax Number | 5416870256 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD09779 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 231571 | 05 |
| Street Address |
1200 HILYARD ST STE S420 |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-8160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427129915 | Scott Emery | Psychiatry & Neurology | 1200 Hilyard St Ste S420, Eugene, OR 97401-8160 | 2006-11-13 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982603106 | Michael E Karasek | Psychiatry & Neurology | 689 E 19th Ave, Eugene, OR 97401-4304 | 2005-07-19 |
| 1659782985 | Makambo Tshionyi | Psychiatry & Neurology | 600 Country Club Rd, Eugene, OR 97401-2240 | 2014-05-08 |
| 1487846556 | Sherrie A. Rawlins | Psychiatry & Neurology | 1255 Hilyard St, Sleep Medicine, Eugene, OR 97401-3718 | 2007-08-13 |
| 1427129915 | Scott Emery | Psychiatry & Neurology | 1200 Hilyard St Ste S420, Eugene, OR 97401-8160 | 2006-11-13 |
| 1497719165 | Hyungki Choi | Psychiatry & Neurology | 330 S Garden Way, Suite 270, Eugene, OR 97401-8176 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639690704 | Tuality Medical Group LLC | Psychiatry & Neurology | 364 Se 8th Ave Ste 101, Hillsboro, OR 97123-4243 | 2017-06-29 |
| 1659891455 | Weller Neurology LLC | Psychiatry & Neurology | 24900 Se Stark St Ste 211, Gresham, OR 97030-3382 | 2017-06-22 |
| 1750739132 | Neil William Douglas Thomas | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Road, Cr131, Oregon Health and Science University, Portland, OR 97239 | 2016-05-26 |
| 1205283462 | Candice Kam | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Road, Cr-131s, Portland, OR 97239 | 2016-05-18 |
| 1487073789 | Tracy Bazan | Psychiatry & Neurology | 10330 Se 32nd Ave Ste 226, Milwaukie, OR 97222-6699 | 2014-04-15 |
| 1881937050 | Michael Saul Farris | Psychiatry & Neurology | Ohsu-3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2013-04-05 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1831460377 | Dennis B Smith | Psychiatry & Neurology | 827 Nw 25th Ave, Portland, OR 97210-3808 | 2012-01-13 |
| 1790078608 | George Reeves Throop IIi | Psychiatry & Neurology | 1142 Nw Scenic Dr, Albany, OR 97321-9669 | 2011-05-25 |
| 1992000228 | Ruchi J Wanchoo | Psychiatry & Neurology | 19260 Sw 65th Ave Ste 280, Tualatin, OR 97062 | 2011-01-18 |
| 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.