Active NPI
Howard M Stein, DO
- Family Medicine Physician
- Junction City, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO22928
- Practice address
- 355 W 3Rd Ave
Junction City, OR 97448-1313 - Phone
- (541) 640-7625
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO22928 | OR | Primary |
Addresses
Primary practice location
355 W 3Rd Ave
Junction City, OR 97448-1313
Mailing address
1292 High St Ste 224
Eugene, OR 97401-3238
Phone (541) 500-2500
Other practice location 1
598 E 13th Ave
Eugene, OR 97401-4783
Phone (541) 640-7625
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 287781 | Medicaid | OR |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO22928 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icco LLC | Current | Accepting new patients | |
| Icco LLC | Current | Accepting new patients | |
| Icco, LLC | Current | Accepting new patients | |
| Icco, LLC | Family Medicine | Past | Accepting new patients |
Locations
598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473
1292 High St
Eugene, OR 97401
Phone (541) 636-3473
355 W 3rd Ave
Junction City, OR 97448
Phone (541) 998-2468
3400 Cooperative Way
Lebanon, OR 97355
Phone (541) 333-6605
Organizations & group practices 4
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": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579824000000",
"number": "1770649477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1292 HIGH ST STE 224",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013238",
"telephone_number": "541-500-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 W 3RD AVE",
"city": "JUNCTION CITY",
"state": "OR",
"postal_code": "974481313",
"telephone_number": "541-640-7625"
}
],
"practiceLocations": [
{
"address_1": "598 E 13th Ave",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974014783",
"country_code": "US",
"telephone_number": "541-640-7625",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEIN",
"first_name": "HOWARD",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2020-01-24",
"certification_date": "2020-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "DO22928",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "287781",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Junction City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.