DR. JULIEN SUCCAR (NPI# 1700220811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700220811 |
| Entity Type | Individual |
| Full Name | DR. JULIEN SUCCAR |
| Credential | M.D. |
| Practice Address |
2484 River Rd Eugene OR 97404 |
| Mailing Address |
1115 Se 164th Ave Vancouver WA 98683-9324 |
| Practice Telephone | 5412227600 |
| Practice Fax Number | 5412227618 |
| Mailing Telephone | 3607291253 |
| Mailing Fax Number | 3607293185 |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2018-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
MD185419 | OR | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | NM | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 University of New Mexico, Msc Department of Preventive Medicine, Albuquerque, NM 871310001 | 5052725880 | |
| 1200 Hilyard St Ste 230, Eugene, OR 974018122 | 4582056041 | 4582056009 |
| Street Address |
2484 RIVER RD |
| City | EUGENE |
| State | OR |
| Zip Code | 97404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982676730 | Katherine L Beckstrand | Family Medicine | 2484 River Rd, Eugene, OR 97404-2042 | 2006-02-06 |
| 1508328840 | Peacehealth Medical Group | Durable Medical Equipment & Medical Supplies | 2484 River Rd, Eugene, OR 97404-2042 | 2019-04-04 |
| 1598207409 | Gretta Freyermuth | Physician Assistant | 2484 River Rd, Eugene, OR 97404 | 2016-11-09 |
| 1124428032 | Micah Lundstedt | Nurse Practitioner | 2484 River Rd, Suite 230, Eugene, OR 97404-2042 | 2014-08-27 |
| 1043635519 | Sandra Wilmot | Nurse Practitioner | 2484 River Rd, Eugene, OR 97404-2042 | 2014-02-20 |
| 1639457583 | Myung Sun Kim | Internal Medicine | 2484 River Rd, Eugene, OR 97404-2042 | 2011-07-26 |
| 1235441791 | Jose Leonardo Rosales Sioco IIi | Family Medicine | 2484 River Rd, Eugene, OR 97404-2042 | 2010-07-12 |
| 1184882953 | Mariquita Tolentino Belen | Family Medicine | 2484 River Rd, Eugene, OR 97404-2042 | 2008-05-29 |
| 1649455445 | Willamette Community Medical Group LLC | Durable Medical Equipment & Medical Supplies | 2484 River Rd, Eugene, OR 97404-2042 | 2007-12-31 |
| 1649348160 | Megan Barckert | Nurse Practitioner | 2484 River Rd, Eugene, OR 97404-2042 | 2006-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821503293 | Calvin Daniel Smith | Denturist | 65 Irving Rd, Eugene, OR 97404 | 2017-12-07 |
| 1053838581 | Breann Nicole Martin | Psychologist | 366 Greenfield Ave, Eugene, OR 97404 | 2017-08-25 |
| 1376071464 | Mckenzie Living, Incorporated | Custodial Care Facility | 2621 Lone Oak Way, Eugene, OR 97404 | 2017-06-01 |
| 1205382520 | Gudatu Wotcha | Counselor | 550 River Rd., Eugene, OR 97404 | 2016-08-28 |
| 1750786828 | Orion Emelio | Registered Nurse | 1366 Andersen Ln, Eugene, OR 97404 | 2014-10-30 |
| 1922407634 | Cheyenne Huddleston | Massage Therapist | 48 Irving Rd., Eugene, OR 97404 | 2014-08-19 |
| 1437593258 | Aaron Morgan Varela | Counselor | 348 Ruby Ave., Eugene, OR 97404 | 2013-04-23 |
| 1245579994 | The Eye Center LLC | Ophthalmology | 65 Division Ave Ste E, Eugene, OR 97404 | 2013-01-31 |
| 1073888251 | Zachary Newell | Mechanotherapist | 902 Travis Ave, Eugene, OR 97404 | 2012-03-20 |
| 1225301732 | Spencer Dean Moncur | Counselor | 550 Rivier Road, Eugene, OR 97404 | 2012-02-14 |
| Find all providers in zip 97404 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063738870 | Lisandra Perez Guzman | Preventive Medicine | 151 W 7th Ave Ste 100, Eugene, OR 97401-2676 | 2010-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689020968 | James Anthony Gaudino Jr. | Preventive Medicine | 9061 Sw 38th Ave, Portland, OR 97219-5382 | 2016-05-05 |
| 1467833012 | Beth Hirschfield | Preventive Medicine | 3916 Sw Nevada Ct, Portland, OR 97219-1514 | 2015-06-09 |
| 1316253685 | Richard Howard Cohen | Preventive Medicine | 61243 Gorge View St, Bend, OR 97702-3032 | 2010-08-25 |
| 1073745790 | Susan Mccall | Preventive Medicine | 22260 Sw 102nd Pl, Tualatin, OR 97062-7199 | 2009-08-13 |
| 1568664829 | Andrea Girman | Preventive Medicine | 1905 Ne Wygant St, Portland, OR 97211-5865 | 2007-05-31 |
| 1598978959 | Sharon Elizabeth Smith | Preventive Medicine | 12066 Se 35th Ave., Milwaukie, OR 97222-6830 | 2007-05-08 |
| 1578782678 | Michael Allen Korpa | Preventive Medicine | 1390 Biddle Rd, Medford, OR 97504-4169 | 2007-04-25 |
| 1215153234 | Geoffrey Enochs Beasley | Preventive Medicine | 3181 Sw Sw Sam Jackson Park Rd., Portland, OR 97219 | 2007-04-18 |
| 1164559951 | Anna Marie Lambertson | Preventive Medicine | 824 Solano Cir, Medford, OR 97504 | 2007-02-27 |
| 1104952415 | Vandana H Rana | Preventive Medicine | 17437 Boones Ferry Rd Ste 100, Lake Oswego, OR 97035-6202 | 2007-02-23 |
| Find all providers with the same taxonomy | ||||
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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.