REBECCA CARROLL, MD (NPI# 1063814135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063814135 |
| Entity Type | Organization |
| Organization Name | REBECCA CARROLL, MD |
| Practice Address |
940 Country Club Rd Eugene OR 97401-2208 |
| Mailing Address |
Po Box 42060 Eugene OR 97404-0570 |
| Practice Telephone | 5413442600 |
| Mailing Telephone | 5416036333 |
| Enumeration Date | 2014-09-20 |
| Last Update Date | 2014-09-20 |
| Authorized Official Name | DR. REBECCA CARROLL (ANESTHESIOLOGIST) |
| Authorized Official Telephone | 5416036333 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
MD153931 | OR | Ambulatory Health Care Facilities |
| Street Address |
940 COUNTRY CLUB RD |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-2208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508857004 | Michael Daniel Masterson | Anesthesiology | 940 Country Club Rd, Eugene, OR 97401-2208 | 2005-11-02 |
| 1861019267 | Jon S Gilbert, Md | Anesthesiology | 940 Country Club Rd, Eugene, OR 97401-2208 | 2020-07-01 |
| 1801184387 | Grant M Rusin Md Pa | Anesthesiology | 940 Country Club Rd, Eugene, OR 97401-2208 | 2011-07-18 |
| 1487948238 | Rebecca May Carroll | Anesthesiology | 940 Country Club Rd, Department of Anesthesia, Eugene, OR 97401-2208 | 2011-06-08 |
| 1891097754 | Dewayne Ditto, Md PC | Anesthesiology | 940 Country Club Rd, Eugene, OR 97401-2208 | 2010-11-29 |
| 1528139714 | Grant M Rusin | Anesthesiology | 940 Country Club Rd, Eugene, OR 97401-2208 | 2006-11-11 |
| 1508942673 | Jon Saxon Gilbert | Anesthesiology | 940 Country Club Rd, Eugene, OR 97401-2208 | 2006-10-31 |
| 1386663490 | Fred C Felter, Md PC | Specialist | 940 Country Club Rd, Eugene, OR 97401-2208 | 2006-07-19 |
| 1386677748 | Fred Charles Felter | Specialist | 940 Country Club Rd, Eugene, OR 97401-2208 | 2006-07-09 |
| 1457388480 | Dewayne Edwin Ditto | Anesthesiology | 940 Country Club Rd, Eugene, OR 97401-2208 | 2006-06-26 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588181275 | Chase Gardens Surgery Center LLC | Clinic/Center | 360 S Garden Way Ste 100, Eugene, OR 97401-8173 | 2017-08-24 |
| 1750650511 | Cascade Anesthesia Services | Clinic/Center | 743 Country Club Rd, Eugene, OR 97401-6019 | 2011-12-23 |
| 1205080181 | Northwest Neurospine Institute, LLC | Clinic/Center | 74b Centennial Loop, Suite 200, Eugene, OR 97401-7918 | 2008-11-05 |
| 1437320017 | Oregon Eye Surgery Center, Inc. | Clinic/Center | 1550 Oak St, Eugene, OR 97401-7701 | 2008-03-21 |
| 1992999775 | Spine Surgery Center of Eugene, LLC | Clinic/Center | 1410 Oak St, Suite 300, Eugene, OR 97401-4604 | 2007-09-05 |
| 1679696157 | Orthopedic Healthcare Ancillary Services, LLC | Clinic/Center | 55 Coburg Rd, Eugene, OR 97401-2433 | 2007-04-09 |
| 1902981558 | Lane Surgery Center, LLC | Clinic/Center | 920 Country Club Rd Ste 220b, Eugene, OR 97401-6090 | 2006-10-25 |
| 1225042575 | Pacific Surgery Center LLC | Clinic/Center | 1125 Darlene Ln, Suite 201, Eugene, OR 97401-1601 | 2006-07-29 |
| 1982644761 | Northwest Neurospine Institute, LLC | Clinic/Center | 74b Centennial Loop, Suite 200, Eugene, OR 97401-2451 | 2006-06-08 |
| 1952353187 | Mckenzie Surgery Center Lp | Clinic/Center | 940 Country Club Rd, Eugene, OR 97401-2208 | 2006-05-16 |
| Find all providers in EUGENE | ||||
Please comment or provide details below to improve the information on REBECCA CARROLL, MD.
| 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.