Northwest Neurospine Institute, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

071595 Issued in OR

Legal business name

NORTHWEST NEUROSPINE INSTITUTE, LLC

Practice address

74B Centennial Loop
Suite 200
Eugene, OR 97401-7918

Phone

(541) 393-0925

NPI assigned

Nov 5, 2008

Organization subpart

No

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

Authorized official

Name

Catherine GalloNPI 1477536100

Title

Board Member

Phone

(541) 393-0925

Specialties & licenses 1

Addresses

Other names 1

• Two Rivers Surgical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Listed as

Northwest Neurospine Institute LLCCCN 38C0001079

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 1

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

• Catherine Jane Gallo, MD

  • Neurological Surgery Physician
  • Eugene, OR
  • NPI 1477536100
  NPD (past) Authorized official

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1205080181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74B CENTENNIAL LOOP",
            "address_2": "SUITE 200",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017918",
            "telephone_number": "541-393-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74B CENTENNIAL LOOP",
            "address_2": "SUITE 200",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017918",
            "telephone_number": "541-393-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST NEUROSPINE INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "GALLO",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "541-393-0925"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OR",
            "license": "071595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Two Rivers Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Two Rivers Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northwest Imaging Forums, Inc.
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• Northwest Naturopathic Medical Clinic PC
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• Northwest Neurospine Institute, LLC
• Northwest Oral and Implant Surgery
• Northwest Post-Acute Care PC
• Karena A Norton
• Robert Norton

• Ambulatory Surgical Clinic/Center in Eugene, OR
• Providers in Eugene, OR by specialty
• Ambulatory Surgical Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.