NPIMap

Organization Active NPI

Neurospine Institute LLC

  • Neurological Surgery Physician
  • Eugene, OR
National Provider Identifier
1811945025
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
NEUROSPINE INSTITUTE LLC
Practice address
74B Centennial Loop
Suite 100
Eugene, OR 97401-7918
Phone
(541) 686-3791
Fax
(541) 686-3795
NPI assigned
May 4, 2006
Last updated
May 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Authorized official

Name
Nicole Leishman
Title
Credentialing Specialist
Phone
(541) 686-3791

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X NU Primary
Orthopaedic Surgery of the Spine Physician 207XS0117X NU
Pain Medicine Physician 208VP0000X NU

Addresses

Primary practice location

74B Centennial Loop
Suite 100
Eugene, OR 97401-7918

Mailing address

74B Centennial Loop Ste 300
Eugene, OR 97401-7925
Phone (541) 686-3791

Other identifiers 1

IdentifierTypeStateIssuer
005818MedicaidOR

Other names 1

  • Neurosurgery Associates Former legal business name

National Provider Directory

National Provider Directory

Locations

1200 Hilyard St
Ste S530
Eugene, OR 97401
Phone (541) 686-3791

74B Centennial Loop
Ste 300
Eugene, OR 97401
Phone (541) 393-0925

74B Centennial Loop
Ste 400
Eugene, OR 97401
Phone (541) 345-0805

2510 NW Edenbower Blvd
Roseburg, OR 97471
Phone (541) 672-9700

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 9

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": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1811945025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74B CENTENNIAL LOOP STE 300",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017925",
            "telephone_number": "541-686-3791",
            "fax_number": "541-686-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74B CENTENNIAL LOOP",
            "address_2": "SUITE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017918",
            "telephone_number": "541-686-3791",
            "fax_number": "541-686-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSPINE INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "LEISHMAN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "541-686-3791"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005818",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurosurgery Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Neurosurgery Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 May 9, 2022; 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.