Eric B Allard, PA-C
Individual provider Active NPI Physician Assistant · Springfield, OR
NPI 1396320396 · NPPES record last updated May 26, 2022
Key facts
- NPI
- 1396320396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA201807 (OR)
- Practice address
- 1435 G St
Springfield, OR 97477-4113 - Phone
- (541) 735-9420
- Fax
- (541) 747-9870
- NPI assigned
- Mar 11, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Icco LLC
Practice addresses (Care Compare)
1800 Coburg Rd
Eugene, OR 97401-4995
Phone (541) 345-8760
186 W Ellendale Ave
Dallas, OR 97338-1408
Phone (541) 640-7625
2710 Willamette St
Eugene, OR 97405-3238
Phone (541) 735-3161
2920 Commercial St SE
Salem, OR 97302-4552
Phone (971) 301-4919
3400 Cooperative Way
Lebanon, OR 97355-3984
Phone (541) 640-7625
355 W 3Rd Ave
Junction City, OR 97448-1313
Phone (541) 998-6750
3737 Shasta Way
Suite a
Klamath Falls, OR 97603-4982
Phone (541) 640-7625
5781 Main St
Springfield, OR 97478-5426
Phone (541) 654-0282
598 E 13TH Ave
Eugene, OR 97401-4783
Phone (541) 636-3473
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210412002792 | OR | Practitioner - Physician Assistant | 0345658373 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA201807 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Health | Current |
Accepting new patients | |
| Salem Health | Family Medicine | Current |
Accepting new patients |
| Icco, LLC | Family Medicine | Current |
Accepting new patients |
| Icco, LLC | Current | Accepting new patients |
Locations
108 NW Sisemore St
Ste 120
Bend, OR 97703
Phone (541) 213-2133
1302 NE 3rd St
Bend, OR 97701
Phone (541) 385-6388
1445 Gateway Blvd
Cottage Grove, OR 97424
Phone (541) 767-3023
186 W Ellendale Ave
Dallas, OR 97338
Phone (971) 900-4984
1800 Coburg Rd
Eugene, OR 97401
Phone (541) 342-1632
2710 Willamette St
Eugene, OR 97405
Phone (541) 735-3161
4040 W 11th Ave
Ste B
Eugene, OR 97402
Phone (458) 215-2311
598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473
3675 Pacific Ave
#101
Forest Grove, OR 97116
Phone (971) 762-4611
1890 NW 6th St
Grants Pass, OR 97526
Phone (541) 507-0684
1623 N 1st St
Hermiston, OR 97838
Phone (458) 300-9014
355 W 3rd Ave
Junction City, OR 97448
Phone (541) 998-2468
3737 Shasta Way
Ste A
Klamath Falls, OR 97603
Phone (541) 883-2337
3400 Cooperative Way
Lebanon, OR 97355
Phone (541) 333-6605
1755 SW Baker St
McMinnville, OR 97128
Phone (971) 900-4522
1226 Virginia Ave
North Bend, OR 97459
Phone (541) 305-4224
1555 S Highway 97
#101
Redmond, OR 97756
Phone (541) 204-4304
3818 SW 21st St
Ste 100
Redmond, OR 97756
Phone (541) 548-2899
1740 NW Goetz St
Roseburg, OR 97471
Phone (541) 672-4789
665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634
2920 Commercial St SE
Salem, OR 97302
Phone (541) 641-6053
5781 Main St
Springfield, OR 97478
Phone (541) 284-1694
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | PA201807 | OR | |
| Physician Assistant | 363A00000X | PA201807 | OR | Yes |
Addresses
Primary practice location
1435 G St
Springfield, OR 97477-4113
Mailing address
PO Box 163
Springfield, OR 97477-0024
Phone (541) 735-9420
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500791198 | Medicaid | OR |
Other providers in Springfield, OR
- Jared Alexander
- Rajeev L Alexander
- Rachelle Alford
- Alison Cadaret DDS PC
- Kevin Matthew Allan
- Jewel Lynn-Redbird Allen
- Krista Rae Allen
- Monica Jean Allen
- Stina Ann Altheide
- Khuram Ameen
All providers in Springfield, OR · Physician Assistant in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.