Individual provider Active NPI

Alison Joan Erde, MD

  • Family Medicine Physician
  • Springfield, OR
National Provider Identifier
1760434385
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD23479 Issued in OR
Practice address
1800 Centennial Blvd
6
Springfield, OR 97477-4385
Phone
(541) 726-1865
Fax
(541) 726-2179
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD23479 OR Primary

Addresses

Primary practice location

1800 Centennial Blvd
6
Springfield, OR 97477-4385

Mailing address

1800 Centennial Blvd Ste 6
Springfield, OR 97477-4385
Phone (541) 726-1865

Other identifiers 1

IdentifierTypeStateIssuer
063446MedicaidOR

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040706000369 OR Practitioner - Family Practice 2567449879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Miami, LM Miller School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3225 Willamette St
Suite 1
Eugene, CA 97405-3309

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
PPC Group LLC CurrentSince Oct 1, 2009 Accepting new patients
Sanders Family Medicine, LLC Family Medicine PastSince Jun 30, 2024 Accepting new patients

Locations

3225 Willamette St
Ste 1
Eugene, OR 97405
Phone (541) 686-9715

1800 Centennial Blvd
#6
Springfield, OR 97477
Phone (541) 726-1865

1800 Centennial Blvd
Ste 6
Springfield, OR 97477
Phone (503) 726-1865

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253145600000",
    "number": "1760434385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 CENTENNIAL BLVD STE 6",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974774385",
            "telephone_number": "541-726-1865",
            "fax_number": "541-726-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 CENTENNIAL BLVD",
            "address_2": "6",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974774385",
            "telephone_number": "541-726-1865",
            "fax_number": "541-726-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERDE",
        "first_name": "ALISON",
        "middle_name": "JOAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2009-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD23479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063446",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

Verify at the official NPI Registry.