Organization Active NPI

Diane L Baird MD PC

  • Dermatology Physician
  • Eugene, OR
National Provider Identifier
1750447546
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DIANE L BAIRD MD PC
Practice address
360 S Garden Way Ste 210
Eugene, OR 97401-8186
Phone
(541) 683-3202
Fax
(541) 868-1063
NPI assigned
Dec 28, 2006
Last updated
Apr 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Authorized official

Name
Breauna Germyn
Title
Biller/Contracting Coordinator
Phone
(541) 505-4134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

360 S Garden Way Ste 210
Eugene, OR 97401-8186

Mailing address

360 S Garden Way Ste 210
Eugene, OR 97401-8186
Phone (541) 683-3202

Other identifiers 1

IdentifierTypeStateIssuer
DC9278OtherORRAILROAD MEDICARE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040520001216 OR Part B Supplier - Clinic/Group Practice 7810988565 Receives reassigned benefits from 2 practitioners
Practice locations: Eugene, OR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D1029740Diane L Baird MD PC360 S Garden Way Suite 210, Eugene, OR 97401Provider-performed microscopyAug 22, 2026

National Provider Directory

National Provider Directory

Locations

360 S Garden Way
Ste 210
Eugene, OR 97401
Phone (503) 346-0644

360 S Garden Way
Ste 310
Eugene, OR 97401
Phone (541) 683-3202

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1750447546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 S GARDEN WAY STE 210",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018186",
            "telephone_number": "541-683-3202",
            "fax_number": "541-868-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 S GARDEN WAY STE 210",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018186",
            "telephone_number": "541-683-3202",
            "fax_number": "541-868-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE L BAIRD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "GERMYN",
        "authorized_official_first_name": "BREAUNA",
        "authorized_official_title_or_position": "BILLER/CONTRACTING COORDINATOR",
        "authorized_official_telephone_number": "541-505-4134"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "DC9278",
            "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 Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.