NPIMap

Organization Active NPI

Emerald Sleep Disorders Center, LLC

  • Clinical Medical Laboratory
  • Eugene, OR
National Provider Identifier
1124080783
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
EMERALD SLEEP DISORDERS CENTER, LLC
Practice address
4725 Village Plaza Loop
Suite 101
Eugene, OR 97401-6677
Phone
(541) 683-3325
Fax
(541) 343-4117
NPI assigned
Apr 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
Dr. Robert George Tearse, M.D.
Title
Medical Directot
Phone
(541) 683-3325

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X OR Primary
Durable Medical Equipment & Medical Supplies 332B00000X OR

Addresses

Primary practice location

4725 Village Plaza Loop
Suite 101
Eugene, OR 97401-6677

Mailing address

4725 Village Plaza Loop
Suite 101
Eugene, OR 97401-6677
Phone (541) 683-3325

Other names 1

  • Eugene Sleep Disorders Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040817000518 OR Part B Supplier - Clinic/Group Practice 2567435639 Receives reassigned benefits from 5 practitioners
2 other NPIs on this enrollment
Practice locations: Eugene, OR

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

330 S Garden Way
Ste 390
Eugene, OR 97401
Phone (541) 683-1796

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1124080783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 VILLAGE PLAZA LOOP",
            "address_2": "SUITE 101",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016677",
            "telephone_number": "541-683-3325",
            "fax_number": "541-343-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 VILLAGE PLAZA LOOP",
            "address_2": "SUITE 101",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016677",
            "telephone_number": "541-683-3325",
            "fax_number": "541-343-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD SLEEP DISORDERS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "TEARSE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOT",
        "authorized_official_telephone_number": "541-683-3325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OR",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eugene Sleep Disorders Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 28, 2007; 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.