McKenzie Family Practice PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MCKENZIE FAMILY PRACTICE PC

Practice address

1755 Coburg Rd Ste 3
Eugene, OR 97401-4984

Phone

(541) 344-8225

Fax

(541) 744-7322

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Kay Sanders

Title

Manager

Phone

(541) 344-8225

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308268800000",
    "number": "1720157597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 COBURG RD STE 3",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014984",
            "telephone_number": "541-344-8225",
            "fax_number": "541-744-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 COBURG RD STE 3",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014984",
            "telephone_number": "541-344-8225",
            "fax_number": "541-744-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKENZIE FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2011-06-17",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "KAY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "541-344-8225"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151025",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "38DO857081",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Craig McIvor, MD
• Andrew Scott McKay, PWS,CRM
• Katerina McKean, RBT
• Sallie Marie McKean, LPC
• Lucia Blaine McKelvey, LMT
• McKenzie Living, Incorporated
• McKenzie Mental Health, LLC
• McKenzie River Foot Clinic LLC
• McKenzie River Gynecology, LLC
• McKenzie Surgery Center LP

• Family Medicine Physician in Eugene, OR
• Providers in Eugene, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.