Active NPI
Stephan M Schepergerdes, MD
- Family Medicine Physician
- Eugene, OR
National Provider Identifier
1023088184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD17923
- Practice address
- 4135 Quest Dr
Eugene, OR 97402-8768 - Phone
- (541) 461-8006
- Fax
- (541) 463-2197
- NPI assigned
- Jan 23, 2006
- Last updated
- Feb 16, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD17923 | OR | Primary |
Addresses
Primary practice location
4135 Quest Dr
Eugene, OR 97402-8768
Mailing address
PO Box 1648
Eugene, OR 97440-1648
Phone (541) 242-4026
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 044789 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- sscheper@yourcarecommunity.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234742400000",
"number": "1023088184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1648",
"city": "EUGENE",
"state": "OR",
"postal_code": "974401648",
"telephone_number": "541-242-4026",
"fax_number": "541-242-4363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4135 QUEST DR",
"city": "EUGENE",
"state": "OR",
"postal_code": "974028768",
"telephone_number": "541-461-8006",
"fax_number": "541-463-2197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHEPERGERDES",
"first_name": "STEPHAN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2009-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD17923",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "044789",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.