PEACEHEALTH MEDICAL GROUP (NPI# 1386814333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386814333 |
| Entity Type | Organization |
| Organization Name | PEACEHEALTH MEDICAL GROUP |
| Practice Address |
1162 Willamette St Eugene OR 97401-3568 |
| Mailing Address |
Po Box 24410 Eugene OR 97402-0451 |
| Practice Telephone | 5416876166 |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-03-06 |
| Authorized Official Name | KAREN M SHEPARD (CFO) |
| Authorized Official Telephone | 5416863968 |
| Is Organization Subpart | Y |
| Parent Organization Name | PEACEHEALTH MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912013590 | Peacehealth Medical Group | Durable Medical Equipment & Medical Supplies | 430 W 7th Ave, Junction City, OR 97448-1619 | 2006-08-23 |
| 1386751758 | Peacehealth Medical Group | Durable Medical Equipment & Medical Supplies | 1200 Hilyard St Ste 200, Eugene, OR 97401-8146 | 2006-08-23 |
| 1508328840 | Peacehealth Medical Group | Durable Medical Equipment & Medical Supplies | 2484 River Rd, Eugene, OR 97404-2042 | 2019-04-04 |
| 1356806202 | Peacehealth Medical Group | Durable Medical Equipment & Medical Supplies | 2846 Willamette St, Eugene, OR 97405-8200 | 2019-02-05 |
| 1134658479 | Peacehealth Medical Group | Durable Medical Equipment & Medical Supplies | 1400 Valley River Dr Ste 110, Eugene, OR 97401-6758 | 2017-06-09 |
| 1821488891 | Peacehealth Medical Group | Durable Medical Equipment & Medical Supplies | 860 Beltline Rd, Springfield, OR 97477-1091 | 2015-01-29 |
| 1447554746 | Peacehealth Medical Group | Durable Medical Equipment & Medical Supplies | 3321 W 11th Ave, Eugene, OR 97402-3040 | 2010-12-29 |
| 1528218005 | Peacehealth Medical Group | Durable Medical Equipment & Medical Supplies | 3377 Riverbend Dr, Springfield, OR 97477 | 2008-09-22 |
| 1881860856 | Peacehealth Medical Group | Clinic/Center | 353 Deadmond Ferry Rd, Springfield, OR 97477-9406 | 2008-04-30 |
| 1427123579 | Peacehealth Medical Group | Durable Medical Equipment & Medical Supplies | 3299 Hilyard St, Eugene, OR 97405-3721 | 2006-11-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PEACEHEALTH MEDICAL GROUP | 1200 Hilyard St, Eugene, OR 97401 |
| Oregon Corporations, Companies and Business Names | PEACEHEALTH MEDICAL GROUP - COTTAGE GROVE | 1515 Village Dr, Cottage Grove, OR 97424 |
| Oregon Corporations, Companies and Business Names | PEACEHEALTH MEDICAL GROUP - CRESWELL | 98 W Oregon Ave, Creswell, OR 97426 |
| Oregon Corporations, Companies and Business Names | PEACEHEALTH MEDICAL GROUP - DEXTER | 38843 Dexter Rd, Dexter, OR 97431 |
| Oregon Corporations, Companies and Business Names | PEACEHEALTH MEDICAL GROUP - SOUTH | 3299 Hilyard St, Eugene, OR 97405 |
| Oregon Corporations, Companies and Business Names | PEACEHEALTH MEDICAL GROUP-SIUSLAW | 380 Ninth St, Florence, OR 97439 |
| Street Address |
1162 WILLAMETTE ST |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-3568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345607 | Kristin Nichols | Pharmacist | 1162 Willamette St, Eugene, OR 97401-3568 | 2005-06-01 |
| 1770710477 | Frances Ann Hizon-smith | Nurse Practitioner | 1162 Willamette St, Eugene, OR 97401-3568 | 2009-06-19 |
| 1386762086 | Radiology Associates, PC | Specialist | 1162 Willamette St, Eugene, OR 97401-3568 | 2007-03-27 |
| 1427195056 | Jessica J Kim | Pharmacist | 1162 Willamette St, Eugene, OR 97401-3568 | 2007-01-31 |
| 1265524797 | Jill A Burge | Registered Nurse | 1162 Willamette St, Eugene, OR 97401-3568 | 2006-09-29 |
| 1609968148 | Desiree A Nelson | Registered Nurse | 1162 Willamette St, Eugene, OR 97401-3568 | 2006-09-29 |
| 1467479931 | Ronald A Smith | Physician Assistant | 1162 Willamette St, Eugene, OR 97401-3568 | 2006-07-17 |
| 1598793176 | W. Mark Dean | Psychiatry & Neurology | 1162 Willamette St, Attn: Carol Crays, Eugene, OR 97401-3568 | 2006-06-30 |
| 1992741920 | Misha Amagasu | Emergency Medicine | 1162 Willamette St, Attn: Carol Crays, Eugene, OR 97401-3568 | 2006-06-20 |
| 1891730016 | Charlotte D Writer | Nurse Practitioner | 1162 Willamette St, Eugene, OR 97401-3568 | 2006-06-19 |
| 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 | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043449895 | Eyemart Express, Ltd. | Eyewear Supplier (Equipment, not the service) | 1680 Coburg Rd, Suite100, Eugene, OR 97401-4869 | 2009-07-14 |
| 1659426021 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 400 Valley River Ctr, Eugene, OR 97401-2124 | 2007-01-24 |
| 1023106655 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 265 Valley River Ctr, Eugene, OR 97401-2176 | 2006-10-10 |
| 1679595656 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 300 Valley River Ctr, Eugene, OR 97401-2151 | 2006-07-25 |
| 1881645190 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 2815 Chad Dr, Eugene, OR 97408-7335 | 2006-05-12 |
| 1265483572 | Shopko Stores Operating Co. LLC | Eyewear Supplier (Equipment, not the service) | 955 Bailey Hill Rd, Eugene, OR 97402-5486 | 2006-05-12 |
| 1912386004 | Eugene Eye Clinic LLC | Eyewear Supplier (Equipment, not the service) | 2460 Willamette St, Eugene, OR 97405-3169 | 2015-05-22 |
| 1427448067 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 2828 Chad Dr, Eugene, OR 97408-7336 | 2015-02-04 |
| 1629476601 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1680 Coburg Rd, Ste 100, Eugene, OR 97401-4869 | 2014-12-08 |
| 1679751184 | John D Wellwood | Eyewear Supplier (Equipment, not the service) | 1350 Chambers St, Eugene, OR 97402-3728 | 2008-02-06 |
| Find all providers in EUGENE | ||||
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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.