NPIMap

Organization Active NPI

Neurospine Group

Doing business as The Neurospine Group

  • Neurological Surgery Physician
  • Eugene, OR
National Provider Identifier
1023594801
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
NEUROSPINE GROUP
Doing business as
The Neurospine Group
Practice address
74B Centennial Loop Ste 300
Eugene, OR 97401-7925
Phone
(541) 686-3791
Fax
(541) 686-3795
NPI assigned
Jul 16, 2018
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Nicole Leishman
Title
Credentialing Specialist
Phone
(541) 316-6616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X NU Primary

Addresses

Primary practice location

74B Centennial Loop Ste 300
Eugene, OR 97401-7925

Mailing address

74B Centennial Loop Ste 300
Eugene, OR 97401-7925
Phone (541) 316-6616

Other identifiers 15

IdentifierTypeStateIssuer
1033283627OtherORCOMMERCIAL
1477536100MedicaidOR
1902000599OtherORCOMMERCIAL
1033283627MedicaidOR
1184634594OtherORCOMMERCIAL
1184634594MedicaidOR
1831475573MedicaidOR
1033192760OtherORCOMMERCIAL
1902000599MedicaidOR
1982899274OtherORCOMMERCIAL
1518639038MedicaidOR
1982899274MedicaidOR
1033192760MedicaidOR
1477536100OtherORCOMMERCIAL
1831475573OtherORCOMMERCIAL

Other names 1

  • The Neurospine Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20181128000430 OR Part B Supplier - Clinic/Group Practice 7719221068 Receives reassigned benefits from 18 practitioners
Practice locations: Eugene, OR
O20231208001416 OR DME Supplier - Multi-Specialty - Physician 7719221068 Practice locations: Eugene, OR

National Provider Directory

National Provider Directory

Locations

74B Centennial Loop
Ste 100
Eugene, OR 97401
Phone (541) 686-3791

Interoperability endpoints

  • FHIR API: https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/262894/r4

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1023594801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74B CENTENNIAL LOOP STE 300",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017925",
            "telephone_number": "541-316-6616",
            "fax_number": "541-284-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74B CENTENNIAL LOOP STE 300",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017925",
            "telephone_number": "541-686-3791",
            "fax_number": "541-686-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSPINE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LEISHMAN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "541-316-6616"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "1033283627",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477536100",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "1902000599",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033283627",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "1184634594",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184634594",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831475573",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "1033192760",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902000599",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "1982899274",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518639038",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982899274",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033192760",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "1477536100",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "1831475573",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Neurospine Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.