Individual provider Active NPI

Jeffrey T Donaldson, CRNA

  • Anesthesiology Physician
  • Redmond, OR
National Provider Identifier
1285779298
Registry record updated Oct 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
200260031 Issued in OR
Practice address
1253 NW Canal Blvd
Redmond, OR 97756-1334
Phone
(541) 548-8131
Fax
(541) 516-3877
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 200260031 OR Primary

Addresses

Primary practice location

1253 NW Canal Blvd
Redmond, OR 97756-1334

Mailing address

PO Box 6096
Bend, OR 97708-6096
Phone (541) 548-8131

Other identifiers 1

IdentifierTypeStateIssuer
500609374MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040412001315 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416941596 Reassigns benefits to 3 organizations
Practice locations: Eugene, OR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
200260031ORMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates Northwest LLC Anesthesiology CurrentSince Aug 1, 2020 Accepting new patients
Good Shepherd Health Care System CurrentSince Mar 18, 2018 Accepting new patients
Emerald Valley Anesthesia CurrentSince Jun 1, 2024 Accepting new patients
St. Charles Health System, Inc. Past Accepting new patients
Rocky Mountain Anesthesiology, PC Anesthesiology Past Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

2115 NE Wyatt Ct
Ste 201
Bend, OR 97701
Phone (541) 610-7246

360 S Garden Way
Ste 230
Eugene, OR 97401
Phone (541) 344-4168

360 S Garden Way
Ste 290
Eugene, OR 97401
Phone (541) 844-1807

74B Centennial Loop
Ste 200
Eugene, OR 97401
Phone (541) 393-0925

590 Country Club Pkwy
Ste A
Eugene, OR 97401
Phone (541) 683-1559

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

833 Bennett Ave
Medford, OR 97504
Phone (541) 608-1994

120 NW 14th Ave
Ste 200
Portland, OR 97209
Phone (503) 771-1883

2445 Beverly St
Springfield, OR 97477
Phone (541) 284-3052

3355 Riverbend Dr
Ste 110
Springfield, OR 97477
Phone (541) 687-1336

Organizations & group practices 5

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381363200000",
    "number": "1285779298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6096",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977086096",
            "telephone_number": "541-548-8131",
            "fax_number": "541-516-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 NW CANAL BLVD",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561334",
            "telephone_number": "541-548-8131",
            "fax_number": "541-516-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALDSON",
        "first_name": "JEFFREY",
        "middle_name": "T",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2013-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OR",
            "license": "200260031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500609374",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.