Individual provider Active NPI

Johanna Lyn Higdon, MD

  • Obstetrics & Gynecology Physician
  • Eugene, OR
National Provider Identifier
1437594116
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD183135 Issued in OR
Practice address
590 Country Club Pkwy Ste B
Eugene, OR 97401-6025
Phone
(541) 686-2922
Fax
(541) 683-1709
NPI assigned
May 8, 2013
Last updated
Feb 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X MD183135 OR Primary

Addresses

Primary practice location

590 Country Club Pkwy Ste B
Eugene, OR 97401-6025

Mailing address

PO Box 70368
Springfield, OR 97475-0120
Phone (541) 868-9719

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
I20170713003460 OR Practitioner - Obstetrics/Gynecology 8123301504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Loma Linda University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Care PCGroup PAC ID 8820986458, 38 clinicians

Practice addresses (Care Compare)

590 Country Club Pkwy
Suite B
Eugene, OR 97401-6025
Phone (541) 686-2922

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD183135ORMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Womens Care, PC Single Specialty CurrentSince Sep 1, 2017 Accepting new patients
Peacehealth Single Specialty Past Accepting new patients

Locations

590 Country Club Pkwy
Ste B
Eugene, OR 97401
Phone (541) 485-2777

590 Country Club Pkwy
Ste A
Eugene, OR 97401
Phone (541) 683-1559

3100 Martin Luther King Jr Pkwy
Springfield, OR 97477
Phone (541) 342-8550

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.

NPI Registry JSON

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1437594116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70368",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974750120",
            "telephone_number": "541-868-9719",
            "fax_number": "541-246-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 COUNTRY CLUB PKWY STE B",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016025",
            "telephone_number": "541-686-2922",
            "fax_number": "541-683-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGDON",
        "first_name": "JOHANNA",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-08",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD183135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.