Willamette Community Medical Group LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WILLAMETTE COMMUNITY MEDICAL GROUP LLC

Doing business as

Southtowne Family Medicine & Pediatrics

Practice address

1835 Pearl St
Eugene, OR 97401-4119

Phone

(541) 687-1668

Fax

(541) 684-3061

NPI assigned

Dec 31, 2007

Last updated

Feb 17, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

WILLAMETTE COMMUNITY MEDICAL GROUP LLCAs reported in NPPES

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

Authorized official

Name

Debbie Brewer

Title

Director

Phone

(615) 465-7626

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Southtowne Family Medicine & Pediatrics Doing business as

Part of

Willamette Comm Med GRP LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Willamette Community Medical Group LLC

  • Family Medicine Physician
  • Eugene, OR
  • NPI 1073607099
  NPPES parent name

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1821273632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MERIDIAN BLVD",
            "address_2": "ATTN: DEBBIE BREWER",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676325",
            "telephone_number": "615-465-7626",
            "fax_number": "615-465-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 PEARL ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014119",
            "telephone_number": "541-687-1668",
            "fax_number": "541-684-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAMETTE COMMUNITY MEDICAL GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILLAMETTE COMMUNITY MEDICAL GROUP LLC",
        "enumeration_date": "2007-12-31",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-465-7626"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1821273632",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southtowne Family Medicine & Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Willamette Community Medical Group LLC (Oregon Medical Group General and Vascular Surgery)
• Willamette Community Medical Group LLC (Westmoreland Family Medicine & Pediatrics)
• Willamette Community Medical Group LLC (Santa Clara Family Medicine)
• Willamette Community Medical Group LLC (Garden Way Medical Clinic)
• Willamette Community Medical Group LLC (Adult Medicine)
• Willamette Community Medical Group LLC (Center for Women's Health)
• Willamette Family Inc
• Willamette Family, Inc
• Willamette Hand Therapy, LLC
• Willamette Hand Therapy, LLC

• Durable Medical Equipment & Medical Supplies in Eugene, OR
• Providers in Eugene, OR by specialty
• Durable Medical Equipment & Medical Supplies in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.