Active NPI
Michael Daniel Masterson, MD
- Anesthesiology Physician
- Eugene, OR
National Provider Identifier
1508857004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD16459
- Practice address
- 940 Country Club Rd
Eugene, OR 97401-2208 - Phone
- (541) 344-2600
- Fax
- (541) 344-3317
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD16459 | OR | Primary |
Addresses
Primary practice location
940 Country Club Rd
Eugene, OR 97401-2208
Mailing address
PO Box 5503
Eugene, OR 97405-0503
Phone (541) 285-7426
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008552 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McKenzie Anesthesia Group, P.C. | Anesthesiology | Past | Accepting new patients |
| Active Health Chiropractic, PC | Past | Accepting new patients | |
| Anesthesia Associates of Medford PC | Anesthesiology | Past | Accepting new patients |
| McKenzie Surgery Center LP | Past | Accepting new patients |
Interoperability endpoints
- mdmaster@yourcarecommunity.org
Organizations & group practices 4
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.
-
- Chiropractor
- Central Point, OR
- NPI 1780989889
-
- Anesthesiology Physician
- Medford, OR
- NPI 1073543963
-
- Anesthesiology Physician
- Springfield, OR
- NPI 1194869834
-
- Ambulatory Surgical Clinic/Center
- Eugene, OR
- NPI 1952353187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361491200000",
"number": "1508857004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5503",
"city": "EUGENE",
"state": "OR",
"postal_code": "974050503",
"telephone_number": "541-285-7426",
"fax_number": "541-357-4494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 COUNTRY CLUB RD",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012208",
"telephone_number": "541-344-2600",
"fax_number": "541-344-3317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTERSON",
"first_name": "MICHAEL",
"middle_name": "DANIEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2013-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OR",
"license": "MD16459",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008552",
"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 Feb 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.