JOYCE M BRACKEBUSCH (NPI# 1710065271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710065271 |
| Entity Type | Individual |
| Full Name | JOYCE M BRACKEBUSCH |
| Credential | MD |
| Practice Address |
360 S Garden Way Suite 200 Eugene OR 97401-8173 |
| Mailing Address |
Po Box 5724 Eugene OR 97405-0724 |
| Practice Telephone | 5413499333 |
| Practice Fax Number | 5413490082 |
| Mailing Telephone | 5413499333 |
| Mailing Fax Number | 5413490082 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | MD20476 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 150605 | 05 |
| Street Address |
360 S GARDEN WAY SUITE 200 |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-8173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205823036 | Cheryl R Bourgault | Physician Assistant | 360 S Garden Way, Suite 210, Eugene, OR 97401-8173 | 2005-10-06 |
| 1558692566 | Taylor Hamilton Bushnell | Physical Therapist | 360 S Garden Way, Suite 250, Eugene, OR 97401-8173 | 2010-01-15 |
| 1528243110 | Willamette Community Medical Group LLC | Durable Medical Equipment & Medical Supplies | 360 S Garden Way, Suite 290, Eugene, OR 97401-8173 | 2008-01-02 |
| 1811067069 | Christy S. Mcallister | Physician Assistant | 360 S Garden Way, Suite 230, Eugene, OR 97401-8173 | 2006-11-08 |
| 1972696755 | Andrew Craig Mcivor | Surgery | 360 S Garden Way, Suite 290, Eugene, OR 97401-8173 | 2006-10-02 |
| 1457458192 | Troy K. Richey | Dermatology | 360 S Garden Way, Ste 230, Eugene, OR 97401-8187 | 2006-09-17 |
| 1811920366 | Middle Fork Surgery Center LLC | Clinic/Center | 360 S Garden Way, Suite 100, Eugene, OR 97401-8173 | 2006-07-08 |
| 1750330262 | Thomas P. Stites | Surgery | 360 S Garden Way, Suite 290, Eugene, OR 97401-8173 | 2006-05-10 |
| 1275500829 | Susan L. Detels | Audiologist-Hearing Aid Fitter | 360 S Garden Way, Suite 200, Eugene, OR 97401-8173 | 2006-03-02 |
| 1114906443 | John M Terhes | Specialist | 360 S Garden Way, Suite 290, Eugene, OR 97401-8173 | 2006-01-13 |
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| 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 | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609062249 | Kenneth Albert Springate | Otolaryngology | 2095 Broadview St, Eugene, OR 97405-1375 | 2007-09-18 |
| 1790863041 | Oregon Ear, Nose and Throat, P.C. | Otolaryngology | 995 Willagillespie Rd, Suite 300c, Eugene, OR 97401-2186 | 2006-11-02 |
| 1164520870 | Prashant P Vivek | Otolaryngology | 330 S Garden Way, Suite 300, Eugene, OR 97401-8176 | 2006-09-20 |
| 1952324907 | Nathan P Christensen | Otolaryngology | 1200 Hilyard St, Suite 620, Eugene, OR 97401-8122 | 2006-07-25 |
| 1639145030 | George Wallace Johansen | Otolaryngology | 1200 Hilyard St, Suite S-200, Eugene, OR 97401-8122 | 2006-02-24 |
| 1265410799 | William David Tom | Otolaryngology | 330 S Garden Way, Suite 300, Eugene, OR 97401-8176 | 2006-01-05 |
| 1316925829 | Susan L Urben | Otolaryngology | 330 S Garden Way, Ste 300, Eugene, OR 97401-8176 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1104289933 | Ci An Gerald Tay | Otolaryngology | 3181 Sw Sam Jackson Park Rd, Pv01, Portland, OR 97239 | 2016-03-30 |
| 1922471291 | Caitlin Bertelsen | Otolaryngology | 3303 Sw Bond Ave Ste 15, Portland, OR 97239-4501 | 2015-11-08 |
| 1326467812 | Tyler Scott Weaver | Otolaryngology | 1508 Division St Ste 115, Oregon City, OR 97045-1584 | 2014-04-10 |
| 1013286822 | Lawrence Thomas Eschelman | Otolaryngology | 3585 Cherokee Dr S, Salem, OR 97302-9712 | 2011-12-22 |
| 1962708578 | John A Lindgren, Md PC | Otolaryngology | 9155 Sw Barnes Rd Ste 401, Portland, OR 97225-6631 | 2011-01-28 |
| 1558674861 | Lucas Rein Rudmik | Otolaryngology | 3720 Sw Bond Ave Unit 2210, Portland, OR 97239-4577 | 2010-07-16 |
| 1134447741 | Aleen J Lee | Otolaryngology | 9280 Se Sunnybrook Blvd Ste 300, Clackamas, OR 97015 | 2010-05-06 |
| 1811164262 | Carrie Maiorana Brown | Otolaryngology | 24076 Se Stark St Ste 230, Gresham, OR 97030 | 2008-05-14 |
| 1114193448 | Ryan Jeffrey Li | Otolaryngology | 3181 Sw Sam Jackson Park Rd # 01, Portland, OR 97239-3011 | 2008-05-06 |
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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.