Aesthetic Surgery Center of Eugene Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

071545 Issued in OR

Legal business name

AESTHETIC SURGERY CENTER OF EUGENE INC

Practice address

2550 Willakenzie Rd
Eugene, OR 97401-7865

Phone

(541) 434-0922

Fax

(541) 434-4369

NPI assigned

Jul 5, 2005

Organization subpart

No

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

Authorized official

Name

Blake V Fausett, MD, PHDNPI 1043449481

Title

Owner/Medical Director

Phone

(541) 434-0922

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Listed as

Aesthetic Surgery Center of Eugene IncCCN 38C0001052

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Blake V Fausett, M.D

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Eugene, OR
  • NPI 1043449481
  NPD (past) Authorized official
• John Hunts, MD PHD

  • Specialist
  • Eugene, OR
  • NPI 1275530297
  NPD (past)
• Allison Ward, PA

  • Medical Physician Assistant
  • Salem, OR
  • NPI 1750927513
  NPD (past)
• Brett Pariseau, M.D.

  • Ophthalmology Physician
  • Madison, WI
  • NPI 1912956764
  NPD (past)

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1174520191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 WILLAKENZIE RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017865",
            "telephone_number": "541-434-0922",
            "fax_number": "541-434-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 WILLAKENZIE RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017865",
            "telephone_number": "541-434-0922",
            "fax_number": "541-434-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC SURGERY CENTER OF EUGENE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "FAUSETT",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "541-434-0922",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OR",
            "license": "071545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "298045",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luke Samuel Adler, L.AC.
• Advanced Foot & Ankle Specialists of Oregon LLC
• Advanced Health Chiropractic PC
• Jane Ey Aerenson, OMD, L.AC.
• Aesthetic Plastic Surgery LLC
• Affiliated Health Centers of Oregon
• Wyley Agamenoni
• Gerald Kwesi Aggrey, MD
• Tatjana Bleu Agudelo, DOULA, PSS
• Athena Aguiar

• All providers in Eugene, OR
• Ambulatory Surgical Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.