Middle Fork Surgery Center LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

MIDDLE FORK SURGERY CENTER LLC

Practice address

360 S Garden Way
Suite 100
Eugene, OR 97401-8173

Phone

(541) 334-0488

NPI assigned

Jul 8, 2006

Organization subpart

Yes

Parent organization

PAIN CONSULTANTS OF OREGONAs reported in NPPES

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

Authorized official

Name

Robert Gessele

Title

Administrator

Phone

(541) 334-0488

Specialties & licenses 1

Addresses

Part of

Pain Consultants of Oregon

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter S Kosek, MD

  • Interventional Pain Medicine Physician
  • Springfield, OR
  • NPI 1639120801
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1811920366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 S GARDEN WAY",
            "address_2": "SUITE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018173",
            "telephone_number": "541-334-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 S GARDEN WAY",
            "address_2": "SUITE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018173",
            "telephone_number": "541-334-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE FORK SURGERY CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAIN CONSULTANTS OF OREGON",
        "enumeration_date": "2006-07-08",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "GESSELE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "541-334-0488"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Michel
• Misti R Micheletto, B.ED.
• Jordan L Michels, D.C.
• Lee G Michels, MD
• Mid Valley Ambulance Service Inc.
• Megan Danielle Middlekauff, LCSW
• Midwest Care Angelwood, LLC
• Midwifery Care
• Cosmin Marius Mihalcea, LMT
• David Mikesell

• Pain Clinic/Center in Eugene, OR
• Providers in Eugene, OR by specialty
• Pain Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.