Organization Active NPI

Jane E Mossberg M.D.,P.C.

  • Internal Medicine Physician
  • Eugene, OR
National Provider Identifier
1255534525
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15395 Issued in OR
Legal business name
JANE E MOSSBERG M.D.,P.C.
Practice address
655 E 11TH Ave Ste 4
Eugene, OR 97401-3621
Phone
(541) 686-2913
Fax
(541) 686-8148
NPI assigned
Jun 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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

Authorized official

Name
Dr. Jane E. Mossberg, M.D.NPI 1568573053
Title
Physician
Phone
(541) 686-2913

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 15395 OR Primary

Addresses

Primary practice location

655 E 11TH Ave Ste 4
Eugene, OR 97401-3621

Mailing address

655 E 11TH Ave Ste 4
Eugene, OR 97401-3621
Phone (541) 686-2913

Other identifiers 1

IdentifierTypeStateIssuer
151100MedicaidOR

National Provider Directory

National Provider Directory

Locations

655 E 11th Ave
Ste 4
Eugene, OR 97401
Phone (541) 434-6328

Practitioners & affiliated clinicians

Practitioners 1

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": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1255534525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 E 11TH AVE STE 4",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013621",
            "telephone_number": "541-686-2913",
            "fax_number": "541-686-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 E 11TH AVE STE 4",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013621",
            "telephone_number": "541-686-2913",
            "fax_number": "541-686-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE E MOSSBERG M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "MOSSBERG",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "541-686-2913",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "15395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151100",
            "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 Jan 25, 2008; 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.