Individual provider Active NPI

Joann Davidson Eiman, PA

  • Medical Physician Assistant
  • Klamath Falls, OR
National Provider Identifier
1558784413
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA183424 Issued in OR
Practice address
2218 Shallock Ave
Klamath Falls, OR 97601-4290
Phone
(548) 882-3818
Fax
(541) 882-9800
NPI assigned
Jan 29, 2014
Last updated
May 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA183424 OR Primary

Addresses

Primary practice location

2218 Shallock Ave
Klamath Falls, OR 97601-4290

Mailing address

2218 Shallock Ave
Klamath Falls, OR 97601-4290
Phone (541) 882-3818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171127003165 OR Practitioner - Physician Assistant 2567686066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cofas IncGroup PAC ID 1456360114, 6 clinicians

Practice addresses (Care Compare)

2218 Shallock Ave
Klamath Falls, OR 97601-4290
Phone (541) 882-3818

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA183424ORMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Well Up Medical, Inc. Medical Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: joann.eiman.1@25961.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1558784413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 SHALLOCK AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976014290",
            "telephone_number": "541-882-3818",
            "fax_number": "541-882-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 SHALLOCK AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976014290",
            "telephone_number": "548-882-3818",
            "fax_number": "541-882-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIMAN",
        "first_name": "JOANN",
        "middle_name": "DAVIDSON",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-29",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA183424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

Verify at the official NPI Registry.