Individual provider Active NPI

Elinor J Tatham, M.D.

  • Family Medicine Physician
  • Corvallis, OR
National Provider Identifier
1760435135
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00033246 Issued in WA
Practice address
850 SW 2TH Street
Corvallis, OR 97331
Phone
(541) 737-9355
Fax
(541) 737-9665
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD152758 OR
Family Medicine Physician 207Q00000X MD00033246 WA Primary

Addresses

Primary practice location

850 SW 2TH Street
Corvallis, OR 97331

Mailing address

850 SW 26TH St
Corvallis, OR 97331-8624
Phone (541) 737-9355

Other identifiers 1

IdentifierTypeStateIssuer
1095389MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD152758ORMDFamily Medicine Physician
MD00033246WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lane County Oregon CurrentSince Jun 1, 2016 Accepting new patients
Madrona Hill Urgent Care LLC Past Accepting new patients
Firstcare Medical Foundation Family Medicine PastSince Sep 1, 2004 Accepting new patients
Port Gamble S'Klallam Tribe PastSince Jul 12, 2020 Accepting new patients
Port Gamble S'Klallam Tribe PastSince Nov 2, 2022 Accepting new patients
Good Samaritan Hospital Corvallis Past Accepting new patients

Locations

1022 Green Acres Rd
Eugene, OR 97408
Phone (541) 682-3551

2073 Olympic St
Springfield, OR 97477
Phone (541) 682-3530

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13337/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1760435135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 SW 26TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973318624",
            "telephone_number": "541-737-9355",
            "fax_number": "541-737-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 SW 2TH STREET",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "97331",
            "telephone_number": "541-737-9355",
            "fax_number": "541-737-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATHAM",
        "first_name": "ELINOR",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD152758",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00033246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1095389",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.