Active NPI
Virginia Barak, MD
- Pediatrics Physician
- Springfield, OR
National Provider Identifier
1063948461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD200180
- Practice address
- 3377 Riverbend Dr
Springfield, OR 97477-8803 - Phone
- (541) 222-6160
- Fax
- (541) 222-6166
- NPI assigned
- May 4, 2017
- Last updated
- Jan 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | BP10059338 | TX | |
| Pediatrics Physician | 208000000X | MD200180 | OR | Primary |
Addresses
Primary practice location
3377 Riverbend Dr
Springfield, OR 97477-8803
Mailing address
1115 SE 164TH Ave Dept 358
Vancouver, WA 98683-8004
Phone (360) 729-1253
Other practice location 1
1515 Village Dr
Cottage Grove, OR 97424-9700
Phone (541) 942-6614
Other practice location 2
4010 Aerial Way
Eugene, OR 97402-9757
Phone (541) 242-8500
Other practice location 3
1200 Hilyard St
Eugene, OR 97401-8122
Phone (458) 205-6061
Other practice location 4
4900 Mueller Boulevard, Suite 3S.066C
U of Texas at Austin, Dell Medical School Pediatrics
Austin, TX 78723
Phone (512) 324-0165
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD200180 | OR | MD | Pediatrics Physician |
| BP10059338 | TX | MD | Pediatrics Physician |
Interoperability endpoints
- vbarak455495@direct.peacehealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611619200000",
"number": "1063948461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 SE 164TH AVE DEPT 358",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986838004",
"telephone_number": "360-729-1253",
"fax_number": "360-729-3185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3377 RIVERBEND DR",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974778803",
"telephone_number": "541-222-6160",
"fax_number": "541-222-6166"
}
],
"practiceLocations": [
{
"address_1": "1515 Village Dr",
"address_purpose": "LOCATION",
"city": "Cottage Grove",
"state": "OR",
"postal_code": "974249700",
"country_code": "US",
"telephone_number": "541-942-6614",
"fax_number": "541-767-5439",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4010 Aerial Way",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974029757",
"country_code": "US",
"telephone_number": "541-242-8500",
"fax_number": "541-242-8502",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 Hilyard St",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974018122",
"country_code": "US",
"telephone_number": "458-205-6061",
"fax_number": "541-687-6067",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4900 Mueller Boulevard, Suite 3S.066C",
"address_2": "U of Texas at Austin, Dell Medical School Pediatrics",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "78723",
"country_code": "US",
"telephone_number": "512-324-0165",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARAK",
"first_name": "VIRGINIA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-04",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "BP10059338",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OR",
"license": "MD200180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.