Organization Active NPI

Silverton Anesthesia Group LLC

  • Certified Registered Nurse Anesthetist
  • Silverton, OR
National Provider Identifier
1518994243
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
SILVERTON ANESTHESIA GROUP LLC
Practice address
342 Fairview St
Silverton, OR 97381
Phone
(503) 873-1500
NPI assigned
Jun 27, 2006
Last updated
Jan 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Authorized official

Name
Mr. Erling Y Chavez, CRNANPI 1801836721
Title
Manager Member
Phone
(503) 873-1500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X Primary

Addresses

Primary practice location

342 Fairview St
Silverton, OR 97381

Mailing address

1000 Willagillespie Rd
350
Eugene, OR 97401-2178
Phone (541) 343-0952

Other identifiers 2

IdentifierTypeStateIssuer
807251000OtherORREGENCE BCBSO
287240MedicaidOR

National Provider Directory

National Provider Directory

Locations

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1518994243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WILLAGILLESPIE RD",
            "address_2": "350",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012178",
            "telephone_number": "541-343-0952",
            "fax_number": "503-343-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 FAIRVIEW ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "97381",
            "telephone_number": "503-873-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVERTON ANESTHESIA GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "ERLING",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "MANAGER MEMBER",
        "authorized_official_telephone_number": "503-873-1500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BCBSO",
            "identifier": "807251000",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287240",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.