NPIMap

Organization Active NPI

Ideal Telemedicine Services LLC

  • Clinic/Center
  • Eugene, OR
National Provider Identifier
1366031478
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
IDEAL TELEMEDICINE SERVICES LLC
Practice address
1201 Oak St Ste D
Eugene, OR 97401-3515
Phone
(877) 522-1275
NPI assigned
Jan 13, 2021
Last updated
Jan 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Authorized official

Name
Jeffrey Todd Allgaier, MD
Title
President
Phone
(509) 222-1275

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1201 Oak St Ste D
Eugene, OR 97401-3515

Mailing address

5615 Dunbarton Ave
Pasco, WA 99301-8216
Phone (509) 570-9302

National Provider Directory

National Provider Directory
Tax ID family
Ideal Telemedicine SVCS LLC36 organizations share this tax ID, including this one

Other organizations with this tax ID 35

Organizations that report the same tax identification number in the National Provider Directory.

View all 35

Locations

1201 Oak St
Ste D
Eugene, OR 97401

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1366031478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 DUNBARTON AVE",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993018216",
            "telephone_number": "509-570-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 OAK ST STE D",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013515",
            "telephone_number": "877-522-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL TELEMEDICINE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "ALLGAIER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-222-1275",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 13, 2021; 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.