Active NPI
Jane E Mossberg M.D.,P.C.
- Internal Medicine Physician
- Eugene, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 15395
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 151100 | Medicaid | OR |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Eugene, OR
- NPI 1568573053
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.