Active NPI
Michael A Diehl, MD
- Pediatrics Physician
- Eugene, OR
National Provider Identifier
1508836503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD13820
- Practice address
- 1650 Chambers St
Eugene, OR 97402-3636 - Phone
- (541) 338-7787
- Fax
- (541) 684-3077
- NPI assigned
- Jan 24, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD13820 | OR | Primary |
Addresses
Primary practice location
1650 Chambers St
Eugene, OR 97402-3636
Mailing address
PO Box 1648
Eugene, OR 97440-1648
Phone (541) 242-4026
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 198572 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Healthcare Resources, LLC | Current | Accepting new patients |
Locations
920 Country Club Rd
Ste 100A
Eugene, OR 97401
Phone (541) 242-4162
1650 Chambers St
Eugene, OR 97402
Phone (541) 636-9015
2000 N 19th St
Springfield, OR 97477
Phone (541) 284-1694
Interoperability endpoints
- mdiehl@yourcarecommunity.org
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Eugene, OR
- NPI 1982907572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213920000000",
"number": "1508836503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1648",
"city": "EUGENE",
"state": "OR",
"postal_code": "974401648",
"telephone_number": "541-242-4026",
"fax_number": "541-242-4363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 CHAMBERS ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974023636",
"telephone_number": "541-338-7787",
"fax_number": "541-684-3077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIEHL",
"first_name": "MICHAEL",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2008-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OR",
"license": "MD13820",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "198572",
"state": "OR"
}
],
"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 Jun 20, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.