Organization Active NPI

Rebecca Carroll, MD

  • Ambulatory Surgical Clinic/Center
  • Eugene, OR
National Provider Identifier
1063814135
Registry record updated Sep 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
MD153931 Issued in OR
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2014

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

Authorized official

Name
Dr. Rebecca Carroll, M.D.NPI 1487948238
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.