Joshua Travis South I

Primary specialty

Medical Art Specialist/TechnologistTaxonomy code 246ZA2600X

License

BAP-FA-1001520 Issued in OR

Practice address

160 E 18TH Ave
Eugene, OR 97401-4160

Phone

(541) 790-9566

NPI assigned

Nov 3, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1851843023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E 18TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014160",
            "telephone_number": "541-790-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E 18TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014160",
            "telephone_number": "541-790-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTH",
        "first_name": "JOSHUA",
        "middle_name": "TRAVIS",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-03",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZA2600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Art, Medical",
            "state": "OR",
            "license": "BAP-FA-1001520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ericka Lee Souders, PH.D., L.P.C.
• South Eugene Dental
• South Eugene Surgi-Center, LLC
• South Hills PT Clinic
• South Valley Therapy, LLC (Davide J. Costley)
• Southside Psychology Services PC
• Jamie Souza, AMFT
• Alanna Larea Sowles
• Cassandra Elizabeth Spangler
• Savannah Marie Sparkes, PA-C

• Medical Art Specialist/Technologist in Eugene, OR
• Providers in Eugene, OR by specialty
• Medical Art Specialist/Technologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.