Individual provider Active NPI

Jan K Lintz, PA

  • Physician Assistant
  • Eugene, OR
National Provider Identifier
1881621381
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01323 Issued in OR
Practice address
3525 Hilyard St Ste 600
Eugene, OR 97405-3866
Phone
(541) 687-8581
Fax
(541) 343-1411
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 280 MT
Physician Assistant 363A00000X PA01323 OR Primary

Addresses

Primary practice location

3525 Hilyard St Ste 600
Eugene, OR 97405-3866

Mailing address

3525 Hilyard St
Eugene, OR 97405-3866
Phone (541) 687-8581

Other identifiers 1

IdentifierTypeStateIssuer
000095553OtherMTBCBS PROV NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
280MTMDPhysical Therapist
PA01323ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Frances Mahon Deaconess Hospital 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.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1881621381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 HILYARD ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053866",
            "telephone_number": "541-687-8581",
            "fax_number": "541-343-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 HILYARD ST STE 600",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053866",
            "telephone_number": "541-687-8581",
            "fax_number": "541-343-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINTZ",
        "first_name": "JAN",
        "middle_name": "K",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "280",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA01323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROV NUMBER",
            "identifier": "000095553",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.