NPIMap

Organization Active NPI

Eugene Springfield Nephrology Associates, PC

  • Nephrology Physician
  • Springfield, OR
National Provider Identifier
1073534004
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD08565 Issued in OR
Legal business name
EUGENE SPRINGFIELD NEPHROLOGY ASSOCIATES, PC
Practice address
1077 Gateway Loop
Springfield, OR 97477-1114
Phone
(541) 485-6478
Fax
(541) 485-0452
NPI assigned
Jul 23, 2006
Last updated
Sep 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Authorized official

Name
Abigail Fair
Title
Clinical Operations Manager
Phone
(541) 868-9251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD08565 OR Primary

Addresses

Primary practice location

1077 Gateway Loop
Springfield, OR 97477-1114

Mailing address

1077 Gateway Loop
Springfield, OR 97477-1114
Phone (541) 485-6478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040412000209 OR Part B Supplier - Clinic/Group Practice 7517951841 Receives reassigned benefits from 18 practitioners
Practice locations: Springfield, OR

National Provider Directory

National Provider Directory

Locations

1200 Hilyard St
Ste S470
Eugene, OR 97401
Phone (503) 485-6478

3355 Riverbend Dr
Ste 200
Springfield, OR 97477
Phone (541) 485-6478

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1073534004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 GATEWAY LOOP",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771114",
            "telephone_number": "541-485-6478",
            "fax_number": "541-485-0452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 GATEWAY LOOP",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771114",
            "telephone_number": "541-485-6478",
            "fax_number": "541-485-0452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE SPRINGFIELD NEPHROLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "FAIR",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_title_or_position": "CLINICAL OPERATIONS MANAGER",
        "authorized_official_telephone_number": "541-868-9251"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OR",
            "license": "MD08565",
            "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 Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.