Individual provider Active NPI

Maureen McMahon Paulus, PA

  • Physician Assistant
  • Eugene, OR
National Provider Identifier
1003249905
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA164242 Issued in OR
Practice address
920 Country Club Rd
Suite 200a
Eugene, OR 97401-6024
Phone
(541) 342-2134
Fax
(541) 686-6021
NPI assigned
Aug 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA164242 OR Primary

Addresses

Primary practice location

920 Country Club Rd
Suite 200a
Eugene, OR 97401-6024

Mailing address

PO Box 742785
Los Angeles, CA 90074-2785
Phone (541) 342-2134

Other identifiers 2

IdentifierTypeStateIssuer
500664027MedicaidOR
PA164242OtherOROREGON LICENSE

Other names 1

  • Maureen Patricia McMahon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131024001648 OR Practitioner - Physician Assistant 0941435192 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lane County OregonGroup PAC ID 7416853833, 31 clinicians

Practice addresses (Care Compare)

1022 Green Acres Rd
Eugene, OR 97408-6501
Phone (541) 682-3550

2073 Olympic St
Springfield, OR 97477-3413
Phone (541) 682-3550

Hospital & facility affiliations

  • Signature Healthcare at Home Home health agency, Eugene, OR, CCN 387140
  • Sacred Heart Medical Center - Riverbend Hospital, Springfield, OR, CCN 380102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA164242ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Healthcare Resources, LLC CurrentSince Nov 18, 2013 Accepting new patients
Lane County Oregon CurrentSince Nov 30, 2023 Accepting new patients

Locations

920 Country Club Rd
Ste 200A
Eugene, OR 97401
Phone (541) 242-4220

1022 Green Acres Rd
Eugene, OR 97408
Phone (541) 682-3551

2000 N 19th St
Springfield, OR 97477
Phone (541) 284-1694

2073 Olympic St
Springfield, OR 97477
Phone (541) 682-3530

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1003249905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742785",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900742785",
            "telephone_number": "541-342-2134",
            "fax_number": "541-684-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 COUNTRY CLUB RD",
            "address_2": "SUITE 200A",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016024",
            "telephone_number": "541-342-2134",
            "fax_number": "541-686-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULUS",
        "first_name": "MAUREEN",
        "middle_name": "MCMAHON",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-14",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA164242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500664027",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON LICENSE",
            "identifier": "PA164242",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUREEN",
            "last_name": "MCMAHON",
            "middle_name": "PATRICIA",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.