NPIMap

Organization Active NPI

Radiology Associates PC

  • Diagnostic Radiology Physician
  • Springfield, OR
National Provider Identifier
1720018393
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RADIOLOGY ASSOCIATES PC
Practice address
445 Harlow Rd
Springfield, OR 97477-1340
Phone
(541) 681-8586
Fax
(775) 624-9774
NPI assigned
Jul 3, 2006
Last updated
Dec 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Authorized official

Name
Dr. Stephan Thiede, MDNPI 1346277399
Title
President
Phone
(541) 681-8586

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

445 Harlow Rd
Springfield, OR 97477-1340

Mailing address

PO Box 53
Eugene, OR 97440-0053
Phone (541) 687-7134

Other practice location 1

1255 Hilyard St
Eugene, OR 97401-3718
Phone (541) 687-7134

Other identifiers 2

IdentifierTypeStateIssuer
710762MedicaidWA
165704MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA, ID3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040126000875 OR Part B Supplier - Clinic/Group Practice 2567364847 Receives reassigned benefits from 41 practitioners
1 other NPI on this enrollment
Practice locations: Coos Bay, OR; Springfield, OR; Gold Beach, OR; Florence, OR; Eugene, OR
O20171214000897 WA Part B Supplier - Clinic/Group Practice 2567364847 Receives reassigned benefits from 4 practitioners
Practice locations: Bellingham, WA
O20240130001089 ID Part B Supplier - Clinic/Group Practice 2567364847 Receives reassigned benefits from 1 practitioner
Practice locations: Filer, ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104

10 Coburg Rd
Ste 330
Eugene, OR 97401
Phone (541) 681-8586

1200 Hilyard St
Ste 300
Eugene, OR 97401

1200 Hilyard St
Ste 330
Eugene, OR 97401
Phone (541) 334-7550

1200 Hilyard St
Ste S300A
Eugene, OR 97401
Phone (541) 681-8586

1255 Hilyard St
Ste 330
Eugene, OR 97401

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

530 9th St
Florence, OR 97439
Phone (541) 997-7104

1740 NW Goetz St
Roseburg, OR 97471
Phone (541) 672-4789

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

3377 Riverbend Dr
Ste 150
Springfield, OR 97477
Phone (541) 222-6000

Practitioners & affiliated clinicians

Practitioners 60

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1720018393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974400053",
            "telephone_number": "541-687-7134",
            "fax_number": "775-624-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 HARLOW RD",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771340",
            "telephone_number": "541-681-8586",
            "fax_number": "775-624-9774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1255 Hilyard St",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974013718",
            "country_code": "US",
            "telephone_number": "541-687-7134",
            "fax_number": "775-624-9774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RADIOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "THIEDE",
        "authorized_official_first_name": "STEPHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-681-8586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "710762",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165704",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.