Stephen R Aufderheide, MD
Individual provider Active NPI Anesthesiology Physician · Springfield, OR
NPI 1215967625 · NPPES record last updated Jun 7, 2012
Key facts
- NPI
- 1215967625
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- MD 24931 (OR)
- Practice address
- 3333 Riverbend Dr
Springfield, OR 97477-8800 - Phone
- (541) 222-3154
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- University of Arizona College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northwest Anesthesia Physicians PC
Practice addresses (Care Compare)
3333 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-2300
Hospital & facility affiliations
- McKenzie-Willamette Medical Center
- Sacred Heart Medical Center - Riverbend
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040412000573 | OR | Practitioner - Anesthesiology | 6305830589 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 24931 | OR | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Anesthesia Physicians PC | Anesthesiology | Current |
Accepting new patients |
| Shasta Anesthesia Consultants a Medical Group Inc | Anesthesiology | Past | Accepting new patients |
Locations
1460 G St
Springfield, OR 97477
Phone (541) 431-0665
3333 Riverbend Dr
Springfield, OR 97477
Phone (541) 222-3154
Interoperability endpoints
- saufderh@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD 24931 | OR | Yes |
Addresses
Primary practice location
3333 Riverbend Dr
Springfield, OR 97477-8800
Mailing address
PO Box 7247
Springfield, OR 97475-0011
Phone (541) 686-9551
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A053 | Other | OR | TRICARE |
| 232817 | Medicaid | OR | |
| P0089022 | Other | OR | RAILROAD MEDICARE |
Other providers in Springfield, OR
- Aspire Wellness LLC
- Mathieu Laurent Assercq
- Assurance Med LLC
- Stan Atkin
- Trudie Lynne Atkinson
- Jenifer Ausiello
- Nancy M Austin
- Axis Physical Therapy & Rehab Inc
- Emily Greer Ayriss
- Deborah Babb
All providers in Springfield, OR · Anesthesiology Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.