Individual provider Active NPI

Elaine J Skalabrin, MD

  • Neurology Physician
  • Springfield, OR
National Provider Identifier
1609966233
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD152427 Issued in OR
Practice address
3377 Riverbend Dr
Springfield, OR 97477-8803
Phone
(541) 222-6330
Fax
(541) 222-6331
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD152427 OR
Neurology Physician 2084N0400X MD152427 OR Primary

Addresses

Primary practice location

3377 Riverbend Dr
Springfield, OR 97477-8803

Mailing address

PO Box 748636
Los Angeles, CA 90074-8636
Phone (877) 202-3597

Other practice location 1

3311 RiverBend Dr.
OHVI - 3rd Floor
Springfield, OR 97477
Phone (541) 222-5144

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101021001210 OR Practitioner - Neurology 9436111911 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD152427ORMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince Oct 22, 2010 Accepting new patients
Department of Neurology School of Medicine University of Utah Neurology Past Accepting new patients

Locations

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

2801 NW Mercy Dr
Ste 350
Roseburg, OR 97471
Phone (541) 222-2700

3311 Riverbend Dr
Fl 3
Springfield, OR 97477
Phone (541) 484-4332

3333 Riverbend Dr
Springfield, OR 97477
Phone (541) 222-3154

Interoperability endpoints

  • Direct secure messaging: eskalabrin8875@direct.peacehealth.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1609966233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748636",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900748636",
            "telephone_number": "877-202-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3377 RIVERBEND DR",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974778803",
            "telephone_number": "541-222-6330",
            "fax_number": "541-222-6331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3311 RiverBend Dr.",
            "address_2": "OHVI - 3rd Floor",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "97477",
            "country_code": "US",
            "telephone_number": "541-222-5144",
            "fax_number": "541-338-1070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKALABRIN",
        "first_name": "ELAINE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OR",
            "license": "MD152427",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD152427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

Verify at the official NPI Registry.