Active NPI
Michael A Laurie, M.D.
- Internal Medicine Physician
- Eugene, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD19654
- Practice address
- 4010 Aerial Way
Eugene, OR 97402-9757 - Phone
- (541) 687-6349
- Fax
- (541) 242-8361
- NPI assigned
- Mar 3, 2006
- 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 | MD19654 | OR | Primary |
Addresses
Primary practice location
4010 Aerial Way
Eugene, OR 97402-9757
Mailing address
PO Box 24410
Eugene, OR 97402-0451
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 077907 | Medicaid | OR |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Southern California Keck School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2484 River Rd
Eugene, OR 97404-2042
Phone (541) 222-7650
4010 Aerial Way
Eugene, OR 97402-9757
Phone (613) 272-4978
Hospital & facility affiliations
- Sacred Heart Home Health
- Mission Home Health of Salem
- Signature Healthcare at Home
- Sacred Heart Medical Center - Riverbend
- Peacehealth Cottage Grove Community Medical Center
- Peace Harbor Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD19654 | OR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth Medical Group | Internal Medicine | Current | Accepting new patients |
| Peacehealth | Current | Accepting new patients |
Locations
4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300
1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253
Interoperability endpoints
- mlaurie2398@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.
-
- General Acute Care Hospital
- Eugene, OR
- NPI 1164595617
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Salem, OR
- NPI 1255730743
-
- General Acute Care Hospital
- Springfield, OR
- NPI 1083888515
-
- Home Health Agency
- Springfield, OR
- NPI 1275524498
-
- Psychiatric Hospital Unit
- Eugene, OR
- NPI 1568236974
-
- Critical Access Hospital
- Florence, OR
- NPI 1578552402
-
- Critical Access Hospital
- Cottage Grove, OR
- NPI 1902892391
-
- Home Health Agency
- Eugene, OR
- NPI 1013733211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258934400000",
"number": "1619944022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24410",
"city": "EUGENE",
"state": "OR",
"postal_code": "974020451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 AERIAL WAY",
"city": "EUGENE",
"state": "OR",
"postal_code": "974029757",
"telephone_number": "541-687-6349",
"fax_number": "541-242-8361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAURIE",
"first_name": "MICHAEL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-03",
"last_updated": "2009-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD19654",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "077907",
"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 Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.