Individual provider Active NPI

Joseph David O'Hala, PA-C

  • Physician Assistant
  • Eugene, OR
National Provider Identifier
1306346804
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA185923 Issued in OR
Practice address
3915 River Rd
Eugene, OR 97404-1230
Phone
(541) 688-9140
NPI assigned
Feb 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA185923 OR Primary

Addresses

Primary practice location

3915 River Rd
Eugene, OR 97404-1230

Mailing address

51 Alison Ave
Wallingford, CT 06492-3301
Phone (203) 494-2105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180321002695 OR Practitioner - Physician Assistant 4082976501 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Healthcare Resources, LLC CurrentSince Mar 1, 2018 Accepting new patients
Oregon Healthcare Resources, LLC CurrentSince Mar 1, 2018 Accepting new patients

Locations

3915 River Rd
Eugene, OR 97404
Phone (541) 359-2816

2000 N 19th St
Springfield, OR 97477
Phone (541) 284-1694

Interoperability endpoints

  • Direct secure messaging: johala42125@westdirect.optum.com

Organizations & group practices 2

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": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1306346804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 ALISON AVE",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923301",
            "telephone_number": "203-494-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 RIVER RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974041230",
            "telephone_number": "541-688-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HALA",
        "first_name": "JOSEPH",
        "middle_name": "DAVID",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA185923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.