Douglas D. Eliason, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO18507 Issued in OR

Practice address

2525 12TH St SE Ste 240250
Salem, OR 97302-2281

Phone

(971) 701-9058

Fax

(833) 944-1930

NPI assigned

Dec 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

P3 Medical Group PCGroup PAC ID 8527476449, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: douglas.eliason.1@17520.direct.athenahealth.com

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.

• P3 Medical Group PC

  • Family Medicine Physician
  • Salem, OR
  • NPI 1689266926
  Medicare reassignment Care Compare group Authorized official
• Salem Health

  • General Acute Care Hospital
  • Salem, OR
  • NPI 1265431829

  Family Medicine

  Medicare reassignment NPD
• Salem Family Physicians, P.C.

  • Legal Medicine
  • Salem, OR
  • NPI 1396858353
  NPD
• Salem Health

  • Durable Medical Equipment & Medical Supplies
  • Keizer, OR
  • NPI 1487434775
  NPD
• Salem Health

  • Family Medicine Physician
  • Woodburn, OR
  • NPI 1578112066
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1306909288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 CORPORATE CIR STE 300",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747760",
            "telephone_number": "702-910-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 12TH ST SE STE 240250",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022281",
            "telephone_number": "971-701-9058",
            "fax_number": "833-944-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIASON",
        "first_name": "DOUGLAS",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO18507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058979",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ann Jarecke Elegant, M.ED.
• Ignacio Elguezabal
• Margo Eliescu, LCSW
• Irma Elizondo, CHW, PPS
• Daniel M Elkin, M.D.
• David A Elkins, M.D., PH.D.
• Viktorija Elkins, LMT#19596

• Family Medicine Physician in Salem, OR
• Providers in Salem, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.