Individual provider Active NPI

Sooji Hong, PA

  • Medical Physician Assistant
  • Eugene, OR
National Provider Identifier
1144937442
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA213604 Issued in OR
Practice address
992 Country Club Rd Ste 201
Eugene, OR 97401-6023
Phone
(541) 246-6613
NPI assigned
Nov 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA213604 OR Primary

Addresses

Primary practice location

992 Country Club Rd Ste 201
Eugene, OR 97401-6023

Mailing address

701 N 5TH St Unit C3023
Lebanon, OR 97355
Phone (213) 440-3546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221209001268 OR Practitioner - Physician Assistant 6305215575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nisha Jackson IncGroup PAC ID 6305147745, 47 clinicians

Practice addresses (Care Compare)

1755 Coburg Rd
Unit 601
Eugene, OR 97401-4900
Phone (541) 204-4745

2205 Ashland St
Suite 102
Ashland, OR 97520-1995
Phone (541) 526-9016

3265 Hillcrest Park Dr
Medford, OR 97504-7657
Phone (541) 494-9355

3312 Gateway St
Springfield, OR 97477-1054
Phone (541) 393-1037

992 Country Club Rd
Suite 201
Eugene, OR 97401-6023
Phone (541) 204-4745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Onepeak Southern Oregon PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sooji.hong.p1@direct.opm.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1144937442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N 5TH ST UNIT C3023",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "97355",
            "telephone_number": "213-440-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "992 COUNTRY CLUB RD STE 201",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016023",
            "telephone_number": "541-246-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "SOOJI",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-04",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA213604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.