Active NPI
Jeffrey T Donaldson, CRNA
- Anesthesiology Physician
- Redmond, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 200260031
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500609374 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200260031 | OR | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates Northwest LLC | Anesthesiology | Current | Accepting new patients |
| Good Shepherd Health Care System | Current | Accepting new patients | |
| Emerald Valley Anesthesia | Current | 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.
-
- Anesthesiology Physician
- Milwaukie, OR
- NPI 1548281751
-
- Certified Registered Nurse Anesthetist
- Springfield, OR
- NPI 1679355820
-
- Critical Access Hospital
- Hermiston, OR
- NPI 1295789667
-
- Oxygen Equipment & Supplies (DME)
- Redmond, OR
- NPI 1427140870
-
- Anesthesiology Physician
- Ogden, UT
- NPI 1487683215
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.