Active NPI
Eric W. Sharp, D.O.
- Family Medicine Physician
- Corvallis, OR
National Provider Identifier
1700015823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO154501
- Practice address
- 5234 SW Philomath Blvd
Corvallis, OR 97333-1042 - Phone
- (541) 768-7300
- NPI assigned
- Jul 10, 2009
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO154501 | OR | Primary |
Addresses
Primary practice location
5234 SW Philomath Blvd
Corvallis, OR 97333-1042
Mailing address
PO Box 1189
Corvallis, OR 97339-1189
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | esharp4811@samhealth.direct-ci.com |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260514003509 | OR | Order and Referring Only - Osteopathic Manipulative Medicine | 3971751355 |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
815 NW 9TH St
Suite 110
Corvallis, OR 97330-6186
Hospital & facility affiliations
- Signature Healthcare at Home
- Good Samaritan Regional Medical Center
- Samaritan Albany General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO154501 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Valley Healthcare Inc | Current | Accepting new patients | |
| Good Samaritan Hospital Corvallis | Current | Accepting new patients | |
| Albany General Hospital | Current | Accepting new patients | |
| Firstcare Medical Foundation | Family Medicine | Past | Accepting new patients |
Locations
3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261
425 N Santiam Hwy
Lebanon, OR 97355
Phone (541) 451-6960
325 Park St
Lebanon, OR 97355
Phone (541) 451-7200
Interoperability endpoints
- esharp4811@samhealth.direct-ci.com
Organizations & group practices 4
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
- Albany, OR
- NPI 1154372340
-
- General Acute Care Hospital
- Corvallis, OR
- NPI 1962453134
-
- Critical Access Hospital
- Lebanon, OR
- NPI 1689625980
-
- Family Medicine Physician
- Albany, OR
- NPI 1740216498
Hospital & facility affiliations 39
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albany, OR
- NPI 1154372340
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Albany, OR
- NPI 1326755158
Hospital
-
- Endocrinology, Diabetes & Metabolism Physician
- Albany, OR
- NPI 1346620408
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604880000000",
"number": "1700015823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1189",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973391189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5234 SW PHILOMATH BLVD",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973331042",
"telephone_number": "541-768-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARP",
"first_name": "ERIC",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-10",
"last_updated": "2020-11-09",
"certification_date": "2020-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "DO154501",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "esharp4811@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "5234 SW Philomath Blvd",
"city": "Corvallis",
"state": "OR",
"country_code": "US",
"postal_code": "973331042",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.