Individual provider Active NPI

Benjamin Tyrus Houston, PA

  • Physician Assistant
  • Eugene, OR
National Provider Identifier
1215309521
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA214380 Issued in OR
Practice address
10 Coburg Rd Ste 201
Eugene, OR 97401-7487
Phone
(541) 687-8581
Fax
(541) 343-1411
NPI assigned
Oct 26, 2015
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 54019 CA
Physician Assistant 363A00000X 3527 NH
Physician Assistant 363A00000X PA214380 OR Primary
Medical Physician Assistant 363AM0700X PA214380 OR

Addresses

Primary practice location

10 Coburg Rd Ste 201
Eugene, OR 97401-7487

Mailing address

10 Coburg Rd Ste 201
Eugene, OR 97401-7487
Phone (541) 687-8581

Other practice location 1

255 Newport Rd
New London, NH 03257-5466
Phone (603) 526-1716

Other practice location 2

2 E Main St Unit 2
Warner, NH 03278-4421
Phone (603) 456-6106

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bhouston@crhc.cernerdirect.com Direct
Direct Messaging Address bhouston@crhc.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231129002888 OR Practitioner - Physician Assistant 5991002107 Reassigns benefits to 1 organization
I20250830000600 NH Practitioner - Physician Assistant 5991002107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Med PCGroup PAC ID 4880670579, 5 clinicians
Concord Hospital IncGroup PAC ID 6103721790, 572 clinicians

Practice addresses (Care Compare)

10 Coburg Rd
Suite 201
Eugene, OR 97401-7487
Phone (541) 687-8581

2 E Main St
Unit 2
Warner, NH 03278-4421
Phone (603) 456-6106

250 Pleasant St
Concord, NH 03301-7559
Phone (603) 230-3138

255 Newport Rd
Suite a
New London, NH 03257-5466
Phone (603) 526-1716

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
54019CAMDMarriage & Family Therapist
3527NHMDPharmacist
PA214380ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital, Inc. CurrentSince Sep 16, 2025 Accepting new patients
Alliance Medical Group, Inc Physician Assistant PastSince Jan 1, 2010 Accepting new patients

Locations

246 Pleasant St
Concord, NH 03301
Phone (603) 224-1223

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

2 E Main St
#2
Warner, NH 03278
Phone (603) 456-6106

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1215309521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 COBURG RD STE 201",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017487",
            "telephone_number": "541-687-8581",
            "fax_number": "541-343-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 COBURG RD STE 201",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017487",
            "telephone_number": "541-687-8581",
            "fax_number": "541-343-1411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 Newport Rd",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "NH",
            "postal_code": "032575466",
            "country_code": "US",
            "telephone_number": "603-526-1716",
            "fax_number": "603-526-1714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 E Main St Unit 2",
            "address_purpose": "LOCATION",
            "city": "Warner",
            "state": "NH",
            "postal_code": "032784421",
            "country_code": "US",
            "telephone_number": "603-456-6106",
            "fax_number": "603-227-7566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUSTON",
        "first_name": "BENJAMIN",
        "middle_name": "TYRUS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-26",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "54019",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "3527",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA214380",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA214380",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bhouston@crhc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Concord Hospital direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "2 E Main St Unit 2",
            "city": "Warner",
            "state": "NH",
            "country_code": "US",
            "postal_code": "032784421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bhouston@crhc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Concord Hospital direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "255 Newport Rd",
            "city": "New London",
            "state": "NH",
            "country_code": "US",
            "postal_code": "032575466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.