Organization Active NPI

South Eugene Surgi-Center, LLC

  • Pain Clinic/Center
  • Eugene, OR
National Provider Identifier
1528067758
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
071530 Issued in OR
Legal business name
SOUTH EUGENE SURGI-CENTER, LLC
Practice address
675 E 19TH Ave
Eugene, OR 97401-4304
Phone
(541) 284-5184
Fax
(541) 284-5185
NPI assigned
Jul 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Michael E Karasek, M.D.
Title
Medical Director
Phone
(541) 284-5184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X 071530 OR Primary

Addresses

Primary practice location

675 E 19TH Ave
Eugene, OR 97401-4304

Mailing address

675 E 19TH Ave
Eugene, OR 97401-4304
Phone (541) 284-5184

National Provider Directory

National Provider Directory

Locations

675 E 19th Ave
Eugene, OR 97401
Phone (541) 284-5184

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1528067758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 E 19TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014304",
            "telephone_number": "541-284-5184",
            "fax_number": "541-284-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 E 19TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014304",
            "telephone_number": "541-284-5184",
            "fax_number": "541-284-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH EUGENE SURGI-CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "KARASEK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "541-284-5184",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "OR",
            "license": "071530",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 5, 2008; 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.