Active NPI
Kasia Van Pett, MD, PC
- Surgery Physician
- Eugene, OR
National Provider Identifier
1164535985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- KASIA VAN PETT, MD, PC
- Practice address
- 74B Centennial Loop
Suite 100
Eugene, OR 97401-7918 - Phone
- (541) 686-3791
- Fax
- (541) 686-3795
- NPI assigned
- Aug 16, 2006
- Organization subpart
- Yes
- Parent organization
- NEUROSPINE INSTITUTE, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerry Comstock
- Title
- Administrator
- Phone
- (541) 686-3791
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
74B Centennial Loop
Suite 100
Eugene, OR 97401-7918
Mailing address
74B Centennial Loop
Suite 100
Eugene, OR 97401-7918
Phone (541) 686-3791
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150130 | Medicaid | OR |
National Provider Directory
National Provider Directory- Part of
- Neurospine Institute LLC
Locations
655 E 11th Ave
Ste 2A
Eugene, OR 97401
Phone (541) 434-6328
74B Centennial Loop
Ste 100
Eugene, OR 97401
Phone (541) 686-3791
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BBBCBD
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Neurological Surgery Physician
- Eugene, OR
- NPI 1811945025
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurological Surgery Physician
- Eugene, OR
- NPI 1326096520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191974400000",
"number": "1164535985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74B CENTENNIAL LOOP",
"address_2": "SUITE 100",
"city": "EUGENE",
"state": "OR",
"postal_code": "974017918",
"telephone_number": "541-686-3791",
"fax_number": "541-686-3795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74B CENTENNIAL LOOP",
"address_2": "SUITE 100",
"city": "EUGENE",
"state": "OR",
"postal_code": "974017918",
"telephone_number": "541-686-3791",
"fax_number": "541-686-3795"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KASIA VAN PETT, MD, PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NEUROSPINE INSTITUTE, LLC",
"enumeration_date": "2006-08-16",
"last_updated": "2007-10-10",
"status": "A",
"authorized_official_last_name": "COMSTOCK",
"authorized_official_first_name": "JERRY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "541-686-3791"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "150130",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
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 Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.