Active NPI
David M Strutin, MD
- Internal Medicine Physician
- Eugene, OR
National Provider Identifier
1528046455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD13948
- Practice address
- 920 Country Club Rd
Ste 200a
Eugene, OR 97401-6024 - Phone
- (541) 342-2134
- Fax
- (541) 686-6021
- NPI assigned
- Dec 30, 2005
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD13948 | OR | Primary |
Addresses
Primary practice location
920 Country Club Rd
Ste 200a
Eugene, OR 97401-6024
Mailing address
929 SW Simpson Ave
Suite 300
Bend, OR 97702-3599
Phone (541) 389-7741
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101204 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD13948 | OR | MD | Internal Medicine Physician |
| 13948 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388707200000",
"number": "1528046455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 SW SIMPSON AVE",
"address_2": "SUITE 300",
"city": "BEND",
"state": "OR",
"postal_code": "977023599",
"telephone_number": "541-389-7741",
"fax_number": "541-278-8375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 COUNTRY CLUB RD",
"address_2": "STE 200A",
"city": "EUGENE",
"state": "OR",
"postal_code": "974016024",
"telephone_number": "541-342-2134",
"fax_number": "541-686-6021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRUTIN",
"first_name": "DAVID",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-30",
"last_updated": "2014-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD13948",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101204",
"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 Jan 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.