Individual provider Active NPI

Jane Neary, MD

  • Family Medicine Physician
  • Eugene, OR
National Provider Identifier
1285703033
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD17112 Issued in OR
Practice address
1755 Coburg Rd Ste 301
Eugene, OR 97401-4982
Phone
(541) 344-8225
Fax
(541) 744-7322
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD17112 OR Primary

Addresses

Primary practice location

1755 Coburg Rd Ste 301
Eugene, OR 97401-4982

Mailing address

1755 Coburg Rd Ste 301
Eugene, OR 97401-4982
Phone (541) 344-8225

Other identifiers 1

IdentifierTypeStateIssuer
023668MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD17112ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icco, LLC Family Medicine Past Accepting new patients

Organizations & group practices 1

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1285703033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 COBURG RD STE 301",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014982",
            "telephone_number": "541-344-8225",
            "fax_number": "541-744-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 COBURG RD STE 301",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014982",
            "telephone_number": "541-344-8225",
            "fax_number": "541-744-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEARY",
        "first_name": "JANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD17112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023668",
            "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 Aug 17, 2016; 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.