Organization Active NPI

DRS Cassell & Boren PC

  • Rheumatology Physician
  • Eugene, OR
National Provider Identifier
1316035728
Registry record updated Jul 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
DRS CASSELL & BOREN PC
Practice address
132 E Broadway Suite 830
DRS Cassell & Boren PC
Eugene, OR 97401-3160
Phone
(541) 687-0816
Fax
(541) 687-1086
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2010

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

Authorized official

Name
Simona S Boren, MD
Title
MD
Phone
(541) 687-0816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

132 E Broadway Suite 830
DRS Cassell & Boren PC
Eugene, OR 97401-3160

Mailing address

132 E Broadway Suite 830
DRS Cassell & Boren PC
Eugene, OR 97401-3160
Phone (541) 687-0816

Other identifiers 1

IdentifierTypeStateIssuer
006704MedicaidOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040429000047 OR Part B Supplier - Clinic/Group Practice 7012904295 Receives reassigned benefits from 5 practitioners
Practice locations: Eugene, OR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D0626525DRS Cassell & Boren PC Laboratory132 E Broadway Ste 830, Eugene, OR 97401ComplianceMar 7, 2028

National Provider Directory

National Provider Directory

Locations

132 E Broadway
Ste 830
Eugene, OR 97401
Phone (541) 687-0816

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1316035728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 E BROADWAY SUITE 830",
            "address_2": "DRS CASSELL & BOREN PC",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013160",
            "telephone_number": "541-687-0816",
            "fax_number": "541-687-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 E BROADWAY SUITE 830",
            "address_2": "DRS CASSELL & BOREN PC",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013160",
            "telephone_number": "541-687-0816",
            "fax_number": "541-687-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS CASSELL & BOREN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "BOREN",
        "authorized_official_first_name": "SIMONA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "541-687-0816",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006704",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.