Organization Active NPI

Jon S Gilbert, MD

  • Anesthesiology Physician
  • Eugene, OR
National Provider Identifier
1861019267
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
JON S GILBERT, MD
Practice address
940 Country Club Rd
Eugene, OR 97401-2208
Phone
(541) 344-2600
Fax
(888) 446-0152
NPI assigned
Jul 1, 2020
Last updated
Jul 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Authorized official

Name
Jon S Gilbert, MDNPI 1508942673
Title
Owner
Phone
(208) 661-0598

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

940 Country Club Rd
Eugene, OR 97401-2208

Mailing address

PO Box 50456
Eugene, OR 97405-0981
Phone (541) 998-4680

Other identifiers 1

IdentifierTypeStateIssuer
500653269MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL FAX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1593561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593561600000",
    "number": "1861019267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50456",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974050981",
            "telephone_number": "541-998-4680",
            "fax_number": "888-446-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 COUNTRY CLUB RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012208",
            "telephone_number": "541-344-2600",
            "fax_number": "888-446-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON S GILBERT, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-661-0598",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500653269",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "FAX",
            "affiliation": "N",
            "endpointDescription": "FAX",
            "address_1": "940 Country Club Rd",
            "city": "Eugene",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974012208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Jul 1, 2020; 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.