Kasia Van Pett, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

MD20623 Issued in OR

Practice address

74B Centennial Loop
Suite 100
Eugene, OR 97401-7918

Phone

(541) 686-3791

Fax

(541) 686-3795

NPI assigned

May 4, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BBBCBD

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.

• Kasia Van Pett, MD, PC

  • Surgery Physician
  • Eugene, OR
  • NPI 1164535985
  NPD (past)
• Neurospine Institute LLC

  • Neurological Surgery Physician
  • Eugene, OR
  • NPI 1811945025
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1326096520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74B CENTENNIAL LOOP",
            "address_2": "SUITE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017918",
            "telephone_number": "541-686-3791",
            "fax_number": "541-686-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74B CENTENNIAL LOOP",
            "address_2": "SUITE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017918",
            "telephone_number": "541-686-3791",
            "fax_number": "541-686-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN PETT",
        "first_name": "KASIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OR",
            "license": "MD20623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150130",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steve Walter Van Dyke, M. ED.
• Jian Van Enk, L.AC, PHD
• Maria Van Gool Hannibal, LMT
• Hayley Caldwell Van Horn
• Lynn Louise Van Norman, LMT
• Sheri Lyn Van Rysselberghe
• Meghan Jaini Van Scholten-Crawford, LMT
• Skylar Faith Van Waveren, QMHA - R
• Maggie Dale Van Wey-Wells
• Joanna Van

• Neurological Surgery Physician in Eugene, OR
• Providers in Eugene, OR by specialty
• Neurological Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.