NORTHWEST CENTER FOR PLASTIC SURGERY, LLC (NPI# 1417918772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417918772 |
| Entity Type | Organization |
| Organization Name | NORTHWEST CENTER FOR PLASTIC SURGERY, LLC |
| Practice Address |
743 Country Club Rd Eugene OR 97401-6019 |
| Practice Telephone | 5416830878 |
| Practice Fax Number | 5416835206 |
| Mailing Telephone | 5416830878 |
| Mailing Fax Number | 5416835206 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2008-06-23 |
| Authorized Official Name | DR. THOMAS M DREYER (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5416830878 |
| 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 |
071570 | OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | STATE LICENSE | 071570 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | NORTHWEST CENTER FOR PLASTIC SURGERY, LLC | 743 Country Club Rd, Eugene, OR 97401 |
| Street Address |
743 COUNTRY CLUB RD |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-6019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154309326 | Nathan Bryan Smith | Physician Assistant | 743 Country Club Rd, Eugene, OR 97401-6019 | 2006-01-06 |
| 1750650511 | Cascade Anesthesia Services | Clinic/Center | 743 Country Club Rd, Eugene, OR 97401-6019 | 2011-12-23 |
| 1407038342 | Cynthia A Dreyer | Dermatology | 743 Country Club Rd, Eugene, OR 97401-6019 | 2007-12-03 |
| 1811039605 | Lisa Kelm | Occupational Therapist | 743 Country Club Rd, Eugene, OR 97401-6019 | 2007-02-12 |
| 1417019829 | Dreyer Dermatology | Clinic/Center | 743 Country Club Rd, Eugene, OR 97401-6019 | 2006-12-14 |
| 1649330457 | Hand Therapy Clinic LLC | Clinic/Center | 743 Country Club Rd, Eugene, OR 97401-6019 | 2006-12-11 |
| 1851305791 | Leslie Werschkul Mcstravick | Physician Assistant | 743 Country Club Rd, Eugene, OR 97401-6019 | 2006-07-28 |
| 1053350702 | Virginia Harrison Saunders | Occupational Therapist | 743 Country Club Rd, Eugene, OR 97401-6019 | 2006-06-06 |
| 1174561658 | Kenda Hills | Physician Assistant | 743 Country Club Rd, Eugene, OR 97401-6019 | 2006-06-04 |
| 1851353668 | Thomas Dreyer | Plastic Surgery | 743 Country Club Rd, Eugene, OR 97401-6019 | 2006-04-05 |
| 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 |
| 1063814135 | Rebecca Carroll, Md | Clinic/Center | 940 Country Club Rd, Eugene, OR 97401-2208 | 2014-09-20 |
| 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 |
| Find all providers in EUGENE | ||||
Please comment or provide details below to improve the information on NORTHWEST CENTER FOR PLASTIC SURGERY, LLC.
| 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.