Individual provider Active NPI

Cristin J. Babcock, MD

  • Obstetrics & Gynecology Physician
  • Springfield, OR
National Provider Identifier
1073529293
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD15348 Issued in OR
Practice address
3100 Martin Luther King Jr Pkwy
Springfield, OR 97477-7514
Phone
(541) 485-2777
Fax
(541) 246-2353
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD15348 OR Primary

Addresses

Primary practice location

3100 Martin Luther King Jr Pkwy
Springfield, OR 97477-7514

Mailing address

PO Box 70368
Springfield, OR 97475-0120
Phone (541) 485-2777

Other practice location 1

1200 Hilyard St Ste 510
Eugene, OR 97401-8150
Phone (458) 205-6294

Other identifiers 1

IdentifierTypeStateIssuer
002431MedicaidOR

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

LicenseStateTypeSpecialty
MD15348ORMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1073529293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70368",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974750120",
            "telephone_number": "541-485-2777",
            "fax_number": "541-246-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 MARTIN LUTHER KING JR PKWY",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974777514",
            "telephone_number": "541-485-2777",
            "fax_number": "541-246-2353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Hilyard St Ste 510",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974018150",
            "country_code": "US",
            "telephone_number": "458-205-6294",
            "fax_number": "541-431-9238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BABCOCK",
        "first_name": "CRISTIN",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD15348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002431",
            "state": "OR"
        }
    ],
    "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 Mar 17, 2018; 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.