Active NPI
Petra Kuhfahl, M.D.
- Internal Medicine Physician
- Eugene, OR
National Provider Identifier
1184719684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD192015
- Practice address
- 330 S Garden Way Ste 350
Eugene, OR 97401-8179 - Phone
- (541) 746-6816
- Fax
- (541) 726-3177
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G85976 | CA | |
| Internal Medicine Physician | 207R00000X | MD192015 | OR | Primary |
Addresses
Primary practice location
330 S Garden Way Ste 350
Eugene, OR 97401-8179
Mailing address
PO Box 1648
Eugene, OR 97440-1648
Phone (541) 687-4900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G859760 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G85976 | CA | MD | Family Medicine Physician |
Interoperability endpoints
- clhough2@yourcarecommunity.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648512000000",
"number": "1184719684",
"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": "541-687-4900",
"fax_number": "541-463-2820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 S GARDEN WAY STE 350",
"city": "EUGENE",
"state": "OR",
"postal_code": "974018179",
"telephone_number": "541-746-6816",
"fax_number": "541-726-3177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUHFAHL",
"first_name": "PETRA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2022-03-29",
"certification_date": "2022-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G85976",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD192015",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G859760",
"state": "CA"
}
],
"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 Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.