Organization Active NPI

Emerald Sleep Disorders Center

  • Clinical Medical Laboratory
  • Eugene, OR
National Provider Identifier
1841483880
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
EMERALD SLEEP DISORDERS CENTER
Practice address
4725 Village Plaza Loop
Suite 101
Eugene, OR 97401-6677
Phone
(541) 683-3325
Fax
(541) 343-4117
NPI assigned
Aug 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Authorized official

Name
Dr. Robert Tearse, MD
Title
Owner
Phone
(541) 683-3325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

4725 Village Plaza Loop
Suite 101
Eugene, OR 97401-6677

Mailing address

4725 Village Plaza Loop
Suite 101
Eugene, OR 97401-6677
Phone (541) 683-3325

Other identifiers 1

IdentifierTypeStateIssuer
R107232OtherORLEGACY PROVIDER #

Other names 1

  • Sleep Disorders and Neurology Clinic Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1841483880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 VILLAGE PLAZA LOOP",
            "address_2": "SUITE 101",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016677",
            "telephone_number": "541-683-3325",
            "fax_number": "541-343-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 VILLAGE PLAZA LOOP",
            "address_2": "SUITE 101",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016677",
            "telephone_number": "541-683-3325",
            "fax_number": "541-343-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD SLEEP DISORDERS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "TEARSE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-683-3325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEGACY PROVIDER #",
            "identifier": "R107232",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sleep Disorders and Neurology Clinic",
            "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 Aug 23, 2007; 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.