Active NPI
Norman Matson, CRNA
- Certified Registered Nurse Anesthetist
- Eugene, OR
National Provider Identifier
1861419459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 078040747
- Practice address
- 920 Country Club Rd
Eugene, OR 97401-6024 - Phone
- (541) 342-6699
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 078040747 | OR | Primary |
Addresses
Primary practice location
920 Country Club Rd
Eugene, OR 97401-6024
Mailing address
2750 Martinique Ave
Eugene, OR 97408-7383
Phone (541) 484-1258
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 078040747 | Other | OR | RN/CRNA |
| 210992 | Medicaid | OR | |
| 030482 | Other | OR | AANA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 078040747 | OR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McKenzie Anesthesia Group, P.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Springfield, OR
- NPI 1194869834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214784000000",
"number": "1861419459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 MARTINIQUE AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974087383",
"telephone_number": "541-484-1258",
"fax_number": "541-484-4972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 COUNTRY CLUB RD",
"city": "EUGENE",
"state": "OR",
"postal_code": "974016024",
"telephone_number": "541-342-6699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATSON",
"first_name": "NORMAN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2008-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OR",
"license": "078040747",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN/CRNA",
"identifier": "078040747",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "210992",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANA",
"identifier": "030482",
"state": "OR"
}
],
"endpoints": [],
"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 Jun 30, 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.