Eric Seth Webb, MD
Individual provider Active NPI Family Medicine Physician · Phoenix, OR
NPI 1306920087 · NPPES record last updated Oct 19, 2020
Key facts
- NPI
- 1306920087
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 17110 (OR)
- Practice address
- 205 Fern Valley Rd Ste a
Phoenix, OR 97535-9100 - Phone
- (541) 535-1274
- Fax
- (541) 535-6973
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Owned or controlled facilities with NPI records 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Providence Health and Services Oregon
Practice addresses (Care Compare)
940 Royal Ave
Medford, OR 97504-6194
965 Ellendale Dr
Medford, OR 97504-8215
Phone (541) 732-6000
Hospital & facility affiliations
- Providence Medford Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Rogue Dental Clinic |
Federally qualified health center | Corporate Director | Jan 1, 2026 |
| White Mountain Health Center |
Federally qualified health center | Corporate Director | Jan 1, 2026 |
| Rogue Behavioral Health |
Federally qualified health center | Corporate Officer | Jan 1, 2026 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100211000696 | OR | Practitioner - Family Practice | 1850434937 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17110 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current |
Accepting new patients | |
| Providence Health & Services Oregon | Family Medicine | Current | Accepting new patients |
| Providence Health & Services - Oregon | Current |
Accepting new patients | |
| Providence Health & Services - Oregon | Current |
Accepting new patients | |
| Providence Health & Services - Oregon | Family Medicine | Current |
Accepting new patients |
Locations
1661 Highway 99 N
Ste 100
Ashland, OR 97520
Phone (541) 732-8300
524 Manzanita St
Central Point, OR 97502
Phone (541) 200-2900
940 Royal Ave
Unit 350
Medford, OR 97504
Phone (541) 732-7460
1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250
205 N Phoenix Rd
Ste A
Phoenix, OR 97535
Phone (541) 535-1274
Interoperability endpoints
- ewebb139745@oc.providencedirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 17110 | OR | Yes |
Addresses
Primary practice location
205 Fern Valley Rd Ste a
Phoenix, OR 97535-9100
Mailing address
PO Box 3158
Portland, OR 97208-3158
Phone (541) 535-1274
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026301 | Medicaid | OR | |
| 17110 | Other | OR | STATE LIC |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ewebb139745@oc.providencedirect.org | ||
| Direct Messaging Address | ewebb139745@oc.providencedirect.org |
Other providers in Phoenix, OR
- Thrifty Payless Inc
- Elizabeth Van Driel
- Hannah L Vanwinkle
- Andrea Nicole Walker
- Emily Dean Warren
- Jamie Robin White
- Julie R Wiley
- Christian Zachary Wilson
- Lisa Woehrl
- Lydia Ruthann Woody
All providers in Phoenix, OR · Family Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.