Active NPI
Phillip R Taggart, MD
- Internal Medicine Physician
- Eugene, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD11315
- Practice address
- 920 Country Club Rd
Ste 200a
Eugene, OR 97401-6024 - Phone
- (541) 342-2134
- Fax
- (541) 686-6021
- NPI assigned
- Dec 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD11315 | OR | Primary |
Addresses
Primary practice location
920 Country Club Rd
Ste 200a
Eugene, OR 97401-6024
Mailing address
PO Box 1648
Eugene, OR 97440-1648
Phone (541) 342-2134
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 075465 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icco LLC | Current | Accepting new patients | |
| Icco, LLC | Current | Accepting new patients | |
| McKenzie Physician Services LLC | Current | Accepting new patients | |
| Icco LLC | Current | Accepting new patients |
Locations
1750 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-0333
598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473
705 9th St
Ste 4
Florence, OR 97439
Phone (541) 744-8613
1007 Harlow Rd
Springfield, OR 97477
Phone (541) 284-1600
5781 Main St
Springfield, OR 97478
Phone (541) 284-1694
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238544000000",
"number": "1255319182",
"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": "541-342-2134",
"fax_number": "541-686-6021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 COUNTRY CLUB RD",
"address_2": "STE 200A",
"city": "EUGENE",
"state": "OR",
"postal_code": "974016024",
"telephone_number": "541-342-2134",
"fax_number": "541-686-6021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAGGART",
"first_name": "PHILLIP",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-30",
"last_updated": "2009-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD11315",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "075465",
"state": "OR"
}
],
"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 Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.