MISHA AMAGASU (NPI# 1992741920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992741920 |
| Entity Type | Individual |
| Full Name | MISHA AMAGASU |
| Credential | M.D. |
| Practice Address |
1162 Willamette St Attn: Carol Crays Eugene OR 97401-3568 |
| Mailing Address |
1515 Village Dr Cottage Grove OR 97424-9700 |
| Practice Telephone | 5416876373 |
| Practice Fax Number | 5414343164 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
MD23945 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 227402 | 05 |
| Street Address |
1162 WILLAMETTE ST ATTN: CAROL CRAYS |
| 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 |
| 1386814333 | Peacehealth Medical Group | Eyewear Supplier (Equipment, not the service) | 1162 Willamette St, Eugene, OR 97401-3568 | 2008-03-06 |
| 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 |
| 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 | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972139418 | Larry Michael Wiedenhoft | Emergency Medicine | 465 Manzanita Ave, Manzanita, OR 97130-0810 | 2020-03-17 |
| 1184829244 | Se Jung Shin Md Professional Corporation | Emergency Medicine | 13305 Nw Cornell Road, Suite C, Portland, OR 97229 | 2007-06-19 |
| 1104028059 | Annameika Eve Goldring | Emergency Medicine | 3181 S.w. Sam Jackson Park Rd., Portland, OR 97239 | 2007-06-04 |
| 1053467985 | Brian Murray Auld | Emergency Medicine | 3621 Elderberry Dr S, Salem, OR 97302-4054 | 2007-01-25 |
| 1750448981 | Carl M Melina | Emergency Medicine | 18610 Nw Cornell Road, Suite 100, Hillsboro, OR 97124-9923 | 2007-01-03 |
| 1023103546 | Michael F. Mccaskill | Emergency Medicine | 436 Timber Lane, Grants Pass, OR 97526 | 2006-10-03 |
| 1366486912 | Mark A Stefanelli | Emergency Medicine | 2647 Grand Ave, Astoria, OR 97103-3329 | 2006-06-15 |
| 1801845953 | David Ernest Magaret | Emergency Medicine | 1201 Ne Elm St, Prineville, OR 97754-1206 | 2006-05-08 |
| 1649235219 | Victoria V Harris | Emergency Medicine | 100 E. Main Street, Suite C, Medford, OR 97501-6041 | 2006-04-18 |
| 1003870536 | Brad Barlow | Emergency Medicine | 351 Sw 9th St, Ontario, OR 97914-2639 | 2006-04-13 |
| 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.