Active NPI
Stephan G Thiede, MD
- Diagnostic Radiology Physician
- Eugene, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD25991
- Practice address
- 1200 Hilyard St
Eugene, OR 97401-8122 - Phone
- (541) 687-7134
- Fax
- (541) 687-7135
- NPI assigned
- Jun 26, 2006
- Last updated
- Jul 5, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD60183001 | WA | |
| Diagnostic Radiology Physician | 2085R0202X | MD25991 | OR | Primary |
Addresses
Primary practice location
1200 Hilyard St
Eugene, OR 97401-8122
Mailing address
445 Harlow Rd Ste 200
Springfield, OR 97477-1341
Phone (541) 302-7771
Other practice location 1
910 S Scheuber Rd
Centralia, WA 98531-9027
Phone (360) 736-0200
Other practice location 2
700 Lincoln St Ste 100
Kelso, WA 98626-1062
Phone (360) 425-5131
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269934 | Medicaid | OR | |
| 8427338 | Medicaid | WA | |
| MD4882R | Medicaid | AK | |
| MD9882R | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Hilyard St
Suite 330
Eugene, OR 97401-8110
Phone (775) 283-3130
1255 Hilyard St
Eugene, OR 97401-3718
Phone (541) 686-7300
3377 Riverbend Dr
Suite 150
Springfield, OR 97477-8805
Phone (541) 736-3340
512 Pole Line Rd
Suite 1
Twin Falls, ID 83301-6367
Phone (208) 735-5555
700 Lincoln St
Suite 100
Kelso, WA 98626-1062
Phone (360) 425-5131
940 E 5TH St
Coquille, OR 97423-1666
Phone (541) 396-3101
Hospital & facility affiliations
- Sacred Heart Medical Center - Riverbend
- Curry General Hospital
- Peace Harbor Medical Center
- Peacehealth Cottage Grove Community Medical Center
- Bay Area Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.45 of 100
- Quality
- 92.91
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60183001 | WA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Imaging Centers, L.L.C. | Diagnostic Radiology | Current | Accepting new patients |
| Coquille Valley Hospital District | Current | Accepting new patients | |
| Bay Area Hospital District | Current | Accepting new patients | |
| Bay Area Hospital District | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Peacehealth Medical Group | Current | Accepting new patients | |
| Radiology Associates PC | Diagnostic Radiology | Current | Accepting new patients |
| Coquille Valley Hospital District | Current | Accepting new patients | |
| Renew, LLC | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Mid Rogue Imaging Center | Current | Accepting new patients | |
| Radiology Associates Coastal Region LLC | Diagnostic Radiology | Current | Accepting new patients |
| Innovative Medical Imaging, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Peacehealth | Current | Accepting new patients | |
| Peacehealth | Past | Accepting new patients | |
| Pacific Northwest Radiology LLC | Diagnostic Radiology | Past | Accepting new patients |
| University Radiology Associates | Diagnostic Radiology | Past | Accepting new patients |
Locations
Dept LA 25339
Pasadena, CA 91185
512 Pole Line Rd
Ste 1
Twin Falls, ID 83301
Phone (208) 735-5555
2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411
940 E 5th St
Coquille, OR 97423
Phone (541) 396-3101
10 Coburg Rd
#220
Eugene, OR 97401
Phone (541) 681-8586
1200 Hilyard St
Eugene, OR 97401
Phone (458) 205-7070
1200 Hilyard St
Ste 330
Eugene, OR 97401
Phone (541) 302-7771
1255 Hilyard St
Eugene, OR 97401
Phone (503) 686-7300
4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300
400 9th St
Florence, OR 97439
Phone (541) 997-8412
3377 Riverbend Dr
Ste 150
Springfield, OR 97477
Phone (541) 222-6000
445 Harlow Rd
Ste 200
Springfield, OR 97477
Phone (541) 302-7771
910 S Scheuber Rd
Centralia, WA 98531
Phone (360) 736-0200
700 Lincoln St
Ste 100
Kelso, WA 98626
Phone (360) 425-5131
5400 MacArthur Blvd
Vancouver, WA 98661
Phone (360) 696-5100
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/5c5c3b5c-6128-40bc-b71b-102ccb82d7e7/
- sthiede@yourcarecommunity.org
Organizations & group practices 18
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.
-
- Diagnostic Radiology Physician
- Springfield, OR
- NPI 1720018393
-
- Critical Access Hospital
- Coquille, OR
- NPI 1730223967
-
dba Oregon Imaging Center
- Diagnostic Radiology Physician
- Eugene, OR
- NPI 1043241581
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Vancouver, WA
- NPI 1982326815
-
dba Bay Area Hospital
- General Acute Care Hospital
- Coos Bay, OR
- NPI 1225016561
-
- Family Medicine Physician
- Eugene, OR
- NPI 1447207287
-
- Diagnostic Radiology Physician
- Coos Bay, OR
- NPI 1952983694
-
dba Curry General Hospital
- Critical Access Hospital
- Gold Beach, OR
- NPI 1487696985
-
- Home Health Agency
- North Bend, OR
- NPI 1215018197
-
- Medicare Defined Swing Bed Hospital Unit
- Coquille, OR
- NPI 1164557179
-
- Radiology Clinic/Center
- Grants Pass, OR
- NPI 1952730871
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bay Area Hospital
- General Acute Care Hospital
- Coos Bay, OR
- NPI 1225016561
-
dba Curry Medical Center (formerly Brookings Medical Center)
- Critical Access Hospital Clinic/Center
- Brookings, OR
- NPI 1083656367
-
dba Curry General Hospital
- Critical Access Hospital
- Gold Beach, OR
- NPI 1487696985
-
- Psychiatric Hospital Unit
- Eugene, OR
- NPI 1568236974
-
dba Cottage Grove Community Medical CT
- Critical Access Hospital
- Cottage Grove, OR
- NPI 1902892391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720137600000",
"number": "1346277399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 HARLOW RD STE 200",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974771341",
"telephone_number": "541-302-7771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 HILYARD ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974018122",
"telephone_number": "541-687-7134",
"fax_number": "541-687-7135"
}
],
"practiceLocations": [
{
"address_1": "910 S Scheuber Rd",
"address_purpose": "LOCATION",
"city": "Centralia",
"state": "WA",
"postal_code": "985319027",
"country_code": "US",
"telephone_number": "360-736-0200",
"fax_number": "360-736-0380",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 Lincoln St Ste 100",
"address_purpose": "LOCATION",
"city": "Kelso",
"state": "WA",
"postal_code": "986261062",
"country_code": "US",
"telephone_number": "360-425-5131",
"fax_number": "360-425-5509",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THIEDE",
"first_name": "STEPHAN",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2024-07-05",
"certification_date": "2024-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD60183001",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OR",
"license": "MD25991",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "269934",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8427338",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD4882R",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD9882R",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
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- Therapeutic Solutions NW
- Shoshanah Thielle, LMT
- Cheryl Lee Thien
- Thom Dale Thien
- Samantha Lorene Thiesfeld
- Emily Thimesche, CHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.