Active NPI
Rebecca Carroll, MD
- Ambulatory Surgical Clinic/Center
- Eugene, OR
National Provider Identifier
1063814135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- MD153931
- Legal business name
- REBECCA CARROLL, MD
- Practice address
- 940 Country Club Rd
Eugene, OR 97401-2208 - Phone
- (541) 344-2600
- NPI assigned
- Sep 20, 2014
- Last updated
- Sep 20, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rebecca Carroll, M.D.
- Title
- Anesthesiologist
- Phone
- (541) 603-6333
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | MD153931 | OR | Primary |
Addresses
Primary practice location
940 Country Club Rd
Eugene, OR 97401-2208
Mailing address
PO Box 42060
Eugene, OR 97404-0570
Phone (541) 603-6333
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Anesthesiology Physician
- Eugene, OR
- NPI 1487948238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1411171200000",
"number": "1063814135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 42060",
"city": "EUGENE",
"state": "OR",
"postal_code": "974040570",
"telephone_number": "541-603-6333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 COUNTRY CLUB RD",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012208",
"telephone_number": "541-344-2600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REBECCA CARROLL, MD",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-20",
"last_updated": "2014-09-20",
"status": "A",
"authorized_official_last_name": "CARROLL",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "ANESTHESIOLOGIST",
"authorized_official_telephone_number": "541-603-6333",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "OR",
"license": "MD153931",
"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 Sep 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.