MIDDLE FORK SURGERY CENTER LLC (NPI# 1811920366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811920366 |
| Entity Type | Organization |
| Organization Name | MIDDLE FORK SURGERY CENTER LLC |
| Practice Address |
360 S Garden Way Suite 100 Eugene OR 97401-8173 |
| Practice Telephone | 5413340488 |
| Mailing Telephone | 5413340488 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2008-02-27 |
| Authorized Official Name | ROBERT GESSELE (ADMINISTRATOR) |
| Authorized Official Telephone | 5413340488 |
| Is Organization Subpart | Y |
| Parent Organization Name | PAIN CONSULTANTS OF OREGON |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| Street Address |
360 S GARDEN WAY SUITE 100 |
| 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 |
| 1710065271 | Joyce M Brackebusch | Otolaryngology | 360 S Garden Way, Suite 200, Eugene, OR 97401-8173 | 2006-11-01 |
| 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 |
| 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 |
| 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 | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528067758 | South Eugene Surgi-center, LLC | Clinic/Center | 675 E 19th Ave, Eugene, OR 97401-4304 | 2005-07-19 |
| 1972811842 | Anita J Dekker Md, LLC | Clinic/Center | 3469 Hilyard St, Eugene, OR 97405-3815 | 2010-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755596 | Monarch Health and Wellness LLC | Clinic/Center | 4855 River Rd N, Keizer, OR 97303-4537 | 2020-06-23 |
| 1669875480 | Duncan Health Centers, LLC | Clinic/Center | 11900 Sw Beaverton Hillsdale Hwy, Beaverton, OR 97005-2976 | 2014-10-07 |
| 1972813962 | Columbia Pain and Spine Institute | Clinic/Center | 689 Nw Burnside Road, Gresham, OR 97030 | 2010-10-08 |
| 1215394119 | Revitalize Wellness Center | Clinic/Center | 51577 Columbia River Hwy, Suite C, Scappoose, OR 97056-8409 | 2016-01-22 |
| 1104064617 | Smj Consulting, Inc | Clinic/Center | 1322 E Mcandrews Rd, Ste 101, Medford, OR 97504-6177 | 2009-01-22 |
| 1861650301 | Integrative Wellness Center, LLC | Clinic/Center | 2343 Se 44th Ave, Portland, OR 97215-3721 | 2008-05-31 |
| 1316104615 | Bend Spine & Pain Specialists, LLC | Clinic/Center | 2041 Ne Williamson Ct, Suite B, Bend, OR 97701-3925 | 2008-05-22 |
| 1538219993 | Northwest Pain Management PC | Clinic/Center | 1322 E Mcandrews Rd, Suite 101, Medford, OR 97504-6177 | 2007-01-10 |
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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.