Individual provider Active NPI

Haidee David Zamora, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Eugene, OR
National Provider Identifier
1316188857
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD153867 Issued in OR
Practice address
1426 Oak St
Eugene, OR 97401-4043
Phone
(541) 431-9501
NPI assigned
Mar 12, 2009
Last updated
Nov 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X LP00804 RI
Internal Medicine Physician 207R00000X MD153867 OR
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD153867 OR Primary

Addresses

Primary practice location

1426 Oak St
Eugene, OR 97401-4043

Mailing address

1426 Oak Street
Eugene, OR 97401-4043
Phone (541) 431-0000

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110928000218 OR Practitioner - EndocrinologyPractitioner - Internal Medicine 3971774761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peacehealth Medical GroupGroup PAC ID 9032023270, 256 clinicians

Practice addresses (Care Compare)

1200 Hilyard St
Eugene, OR 97401-8122
Phone (458) 205-6011

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD153867ORMDInternal Medicine Physician
LP00804RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Medical Group Internal Medicine CurrentSince Feb 28, 2022 Accepting new patients
Asante Physician Partners Internal Medicine PastSince Nov 1, 2012 Accepting new patients

Locations

1200 Hilyard St
Eugene, OR 97401
Phone (458) 205-7070

1200 Hilyard St
Ste S550
Eugene, OR 97401
Phone (541) 302-6469

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

Interoperability endpoints

  • Direct secure messaging: hzamora544773@direct.peacehealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1316188857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 OAK STREET",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014043",
            "telephone_number": "541-431-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 OAK ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014043",
            "telephone_number": "541-431-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMORA",
        "first_name": "HAIDEE",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-12",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "LP00804",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD153867",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OR",
            "license": "MD153867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.