NPIMap

Organization Active NPI

Sally Suzanne Marie MD

  • Family Medicine Physician
  • Eugene, OR
National Provider Identifier
1184881393
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14482 Issued in OR
Legal business name
SALLY SUZANNE MARIE MD
Practice address
1755 Coburg Rd Ste 5
Eugene, OR 97401-4982
Phone
(541) 654-4175
NPI assigned
May 16, 2008
Last updated
Nov 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Authorized official

Name
Sally Suzanne Marie, MDNPI 1275500050
Title
Owner/Physician
Phone
(541) 654-4175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 14482 OR Primary

Addresses

Primary practice location

1755 Coburg Rd Ste 5
Eugene, OR 97401-4982

Mailing address

1755 Coburg Rd Ste 5
Eugene, OR 97401-4982

Other names 1

  • Sally Suzanne Marie MD LLC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1184881393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 COBURG RD STE 5",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 COBURG RD STE 5",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014982",
            "telephone_number": "541-654-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALLY SUZANNE MARIE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "MARIE",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "541-654-4175",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "14482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sally Suzanne Marie MD LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 23, 2011; 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.