Individual provider Active NPI

Sharon H Flynn, MD

  • Internal Medicine Physician
  • Eugene, OR
National Provider Identifier
1184694812
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD24505 Issued in OR
Practice address
1650 Chambers St
Eugene, OR 97402-3636
Phone
(541) 686-1711
Fax
(541) 686-6018
NPI assigned
Jan 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD24505 OR Primary

Addresses

Primary practice location

1650 Chambers St
Eugene, OR 97402-3636

Mailing address

PO Box 1648
Eugene, OR 97440-1648
Phone (541) 686-1711

Other identifiers 1

IdentifierTypeStateIssuer
227336MedicaidOR

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040722000009 OR Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 3779563606 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care
Education
George Washington University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PeacehealthGroup PAC ID 4587573001, shared by 3 NPIs, 26 clinicians

Practice addresses (Care Compare)

400 9TH St
Florence, OR 97439-7398
Phone (541) 997-8412

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD24505ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Medical Group Cottage Grove Current Accepting new patients
Oregon Healthcare Resources, LLC CurrentSince Oct 1, 2011 Accepting new patients
Peacehealth Current Accepting new patients
Peacehealth CurrentSince Apr 10, 2023 Accepting new patients
Peacehealth CurrentSince Jul 11, 2023 Accepting new patients
Peacehealth CurrentSince Jan 22, 2019 Accepting new patients
McKenzie Physician Services LLC Past Accepting new patients

Locations

1515 Village Dr
Cottage Grove, OR 97424
Phone (541) 767-5200

1650 Chambers St
Eugene, OR 97402
Phone (541) 636-9015

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

920 Country Club Rd
Ste 100A
Eugene, OR 97401
Phone (541) 242-4162

920 Country Club Rd
Ste 210B
Eugene, OR 97401
Phone (541) 242-4172

400 9th St
Florence, OR 97439
Phone (541) 997-8412

2801 NW Mercy Dr
Ste 350
Roseburg, OR 97471
Phone (541) 222-2700

1007 Harlow Rd
Springfield, OR 97477
Phone (541) 284-1600

2000 N 19th St
Springfield, OR 97477
Phone (541) 284-1694

Interoperability endpoints

  • Direct secure messaging: sflynn12684@direct.peacehealth.org
  • Direct secure messaging: sflynn01@yourcarecommunity.org

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1184694812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1648",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974401648",
            "telephone_number": "541-686-1711",
            "fax_number": "541-686-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 CHAMBERS ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974023636",
            "telephone_number": "541-686-1711",
            "fax_number": "541-686-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "SHARON",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD24505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227336",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.