NPIMap

Organization Active NPI

McKenzie Surgical Group PC

  • Surgery Physician
  • Springfield, OR
National Provider Identifier
1144256314
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD09223 Issued in OR
Legal business name
MCKENZIE SURGICAL GROUP PC
Practice address
960 N 16TH
Suite 304
Springfield, OR 97477
Phone
(541) 746-7914
Fax
(541) 741-2163
NPI assigned
Jun 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Amanda F Davis
Title
Office Manager
Phone
(541) 746-7914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD09223 OR Primary

Addresses

Primary practice location

960 N 16TH
Suite 304
Springfield, OR 97477

Mailing address

960 N 16TH
Suite 304
Springfield, OR 97477
Phone (541) 746-7914

Other names 1

  • Steven L Wilhite MD Other name

National Provider Directory

National Provider Directory

Locations

1755 Coburg Rd
Unit 401
Eugene, OR 97401
Phone (541) 255-3905

960 N 16th St
Ste 203
Springfield, OR 97477
Phone (503) 746-7914

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144256314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 N 16TH",
            "address_2": "SUITE 304",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "97477",
            "telephone_number": "541-746-7914",
            "fax_number": "541-741-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 N 16TH",
            "address_2": "SUITE 304",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "97477",
            "telephone_number": "541-746-7914",
            "fax_number": "541-741-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKENZIE SURGICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-746-7914",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD09223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steven L Wilhite MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 22, 2020; 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.