Organization Active NPI

Eric a. Soder, M.D.,P.C.

  • Surgery Physician
  • Roseburg, OR
National Provider Identifier
1841463064
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD11890 Issued in OR
Legal business name
ERIC A. SODER, M.D.,P.C.
Practice address
2570 NW Edenbower Blvd
Suite 101
Roseburg, OR 97470-6214
Phone
(541) 464-4177
NPI assigned
Apr 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Eric A Soder, M.D.
Title
Owner/President
Phone
(541) 464-4177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X MD11890 OR Primary

Addresses

Primary practice location

2570 NW Edenbower Blvd
Suite 101
Roseburg, OR 97470-6214

Mailing address

2570 NW Edenbower Blvd
Suite 101
Roseburg, OR 97470-6214
Phone (541) 464-4177

National Provider Directory

National Provider Directory

Locations

2570 NW Edenbower Blvd
Ste 101
Roseburg, OR 97471
Phone (541) 464-4480

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1841463064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 NW EDENBOWER BLVD",
            "address_2": "SUITE 101",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974706214",
            "telephone_number": "541-464-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 NW EDENBOWER BLVD",
            "address_2": "SUITE 101",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974706214",
            "telephone_number": "541-464-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC A. SODER, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "SODER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "541-464-4177",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD11890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.