Active NPI
Susan K Palmer, MD
- Anesthesiology Physician
- Eugene, OR
National Provider Identifier
1073527438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD23698
- Practice address
- 120 Daniel Dr
Eugene, OR 97404-1367 - Phone
- (541) 461-0099
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD23698 | OR | Primary |
Addresses
Primary practice location
120 Daniel Dr
Eugene, OR 97404-1367
Mailing address
120 Daniel Dr
Eugene, OR 97404-1367
Phone (541) 461-0099
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 286504 | Medicaid | OR | |
| 8312662 | Medicaid | WA | |
| P00063336 | Other | OR | RR MEDICARE |
| 200887220 | Medicaid | IN |
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 |
|---|---|---|---|
| MD23698 | OR | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339632000000",
"number": "1073527438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 DANIEL DR",
"city": "EUGENE",
"state": "OR",
"postal_code": "974041367",
"telephone_number": "541-461-0099",
"fax_number": "541-461-0099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 DANIEL DR",
"city": "EUGENE",
"state": "OR",
"postal_code": "974041367",
"telephone_number": "541-461-0099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "SUSAN",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2012-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OR",
"license": "MD23698",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "286504",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8312662",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00063336",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200887220",
"state": "IN"
}
],
"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 Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.