Organization Active NPI

John H Hunts MD PHD LLC

  • Medical Specialty Clinic/Center
  • Eugene, OR
National Provider Identifier
1053556019
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
MD19148 Issued in OR
Legal business name
JOHN H HUNTS MD PHD LLC
Practice address
2550 Willakenzie Rd Ste 1
Eugene, OR 97401-7865
Phone
(541) 434-0922
Fax
(541) 434-4369
NPI assigned
Dec 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Authorized official

Name
Karen Vaughn
Title
Insurance Coordinator
Phone
(541) 434-4366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X MD19148 OR Primary

Addresses

Primary practice location

2550 Willakenzie Rd Ste 1
Eugene, OR 97401-7865

Mailing address

2550 Willakenzie Rd Ste 1
Eugene, OR 97401-7865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081210000268 OR Part B Supplier - Clinic/Group Practice 3375604200 Receives reassigned benefits from 2 practitioners
Practice locations: Roseburg, OR; Eugene, OR; Grants Pass, OR; Brookings, OR

National Provider Directory

National Provider Directory

Locations

1475 SW Chandler Ave
Ste 102
Bend, OR 97702
Phone (541) 548-7170

937 Chetco Ave
Ste K
Brookings, OR 97415
Phone (541) 469-6923

2550 Willakenzie Rd
Ste 1
Eugene, OR 97401

1775 SW Umatilla Ave
Redmond, OR 97756
Phone (541) 548-7170

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1053556019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 WILLAKENZIE RD STE 1",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 WILLAKENZIE RD STE 1",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017865",
            "telephone_number": "541-434-0922",
            "fax_number": "541-434-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN H HUNTS MD PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "541-434-4366"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OR",
            "license": "MD19148",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 4, 2008; 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.