NPIMap

Individual provider Active NPI

Jonathan Gonenne, MD

  • Gastroenterology Physician
  • Springfield, OR
National Provider Identifier
1649299538
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD26041 Issued in OR
Practice address
3355 Riverbend Dr
Suite 500
Springfield, OR 97477-8800
Phone
(541) 868-9500
Fax
(541) 685-5920
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD26041 OR Primary

Addresses

Primary practice location

3355 Riverbend Dr
Suite 500
Springfield, OR 97477-8800

Mailing address

3355 Riverbend Dr Ste 500
Springfield, OR 97477-8800
Phone (541) 868-9500

Other identifiers 1

IdentifierTypeStateIssuer
027812MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050727001193 OR Practitioner - GastroenterologyPractitioner - Internal Medicine 9931137379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eugene Gastroenterology Consultants PCGroup PAC ID 9830185875, 16 clinicians

Practice addresses (Care Compare)

3355 Riverbend Dr
Suite 500
Springfield, OR 97477-8800
Phone (541) 868-9500

Hospital & facility affiliations

  • Sacred Heart Medical Center - Riverbend Hospital, Springfield, OR, CCN 380102
  • Mercy Medical Center Hospital, Roseburg, OR, CCN 380027
  • Bay Area Hospital Hospital, Coos Bay, OR, CCN 380090
  • Peace Harbor Medical Center Hospital, Florence, OR, CCN 381316

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy102
Upper gastrointestinal (GI) endoscopy for acid reflux202

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD26041ORMDFamily Medicine Physician
34590TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eugene Gastroenterology Consultants PC Gastroenterology CurrentSince Nov 1, 2005 Accepting new patients
Oregon Endoscopy Center, LLC Current Accepting new patients
Nashville Inpatient Management Services, PLC PastSince Jul 3, 2002 Accepting new patients

Locations

3355 Riverbend Dr
#500
Springfield, OR 97477
Phone (541) 868-9506

3355 Riverbend Dr
Ste 500
Springfield, OR 97477
Phone (541) 868-9506

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1649299538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 RIVERBEND DR STE 500",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974778800",
            "telephone_number": "541-868-9500",
            "fax_number": "541-685-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 RIVERBEND DR",
            "address_2": "SUITE 500",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974778800",
            "telephone_number": "541-868-9500",
            "fax_number": "541-685-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONENNE",
        "first_name": "JONATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OR",
            "license": "MD26041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027812",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

Verify at the official NPI Registry.