Organization Active NPI

Kasia Van Pett, MD, PC

  • Surgery Physician
  • Eugene, OR
National Provider Identifier
1164535985
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
150130MedicaidOR

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

  • FHIR API: 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.

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.