Active NPI
James Frederick Kitterman, MD JD
- Dermatology Physician
- Eugene, OR
National Provider Identifier
1700879616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD10762
- Practice address
- 132 E Broadway
Ste 825
Eugene, OR 97401-3143 - Phone
- (541) 484-2430
- Fax
- (541) 484-1796
- NPI assigned
- Aug 25, 2005
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD10762 | OR | Primary |
Addresses
Primary practice location
132 E Broadway
Ste 825
Eugene, OR 97401-3143
Mailing address
132 E Broadway
Ste 825
Eugene, OR 97401-3143
Phone (541) 484-2430
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 194845 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Juris Doctor, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD10762 | OR | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1700879616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 E BROADWAY",
"address_2": "STE 825",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013143",
"telephone_number": "541-484-2430",
"fax_number": "541-484-1796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 E BROADWAY",
"address_2": "STE 825",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013143",
"telephone_number": "541-484-2430",
"fax_number": "541-484-1796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITTERMAN",
"first_name": "JAMES",
"middle_name": "FREDERICK",
"credential": "MD JD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OR",
"license": "MD10762",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "194845",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.