Oregon Dermatology & Surgery, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

OREGON DERMATOLOGY & SURGERY, LLC

Doing business as

Oregon Dermatology

Practice address

860 Beltline Rd
Springfield, OR 97477-1091

Phone

(541) 344-4168

Fax

(458) 201-8510

NPI assigned

Apr 8, 2024

Last updated

Dec 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sophia Steger

Title

Practice Administrator/Clinic MGR

Phone

(541) 344-4168

Specialties & licenses 1

Addresses

Other names 1

• Oregon Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 8

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.

• Samuel Jackson Balin, M.D., PH.D.

  • Dermatology Physician
  • Springfield, OR
  • NPI 1518254481
  Medicare reassignment Care Compare group NPD
• Rie Takahashi, MD, PHD

  • Dermatology Physician
  • Springfield, OR
  • NPI 1528476322
  Medicare reassignment Care Compare group NPD
• Lawrence D Weidell, PA-C

  • Medical Physician Assistant
  • Panama City, FL
  • NPI 1770540122

  OR

  Medicare reassignment Care Compare group NPD
• Janna Marie Check, PA-C

  • Medical Physician Assistant
  • Springfield, OR
  • NPI 1619575008
  Medicare reassignment Care Compare group
• Christy Sno, P.A.-C

  • Medical Physician Assistant
  • Springfield, OR
  • NPI 1811067069
  Medicare reassignment Care Compare group
• Joshua Clark, M.D.

  • Dermatology Physician
  • Springfield, OR
  • NPI 1710349592
  NPD
• Lindsey Fix, M.D.

  • MOHS-Micrographic Surgery Physician
  • Springfield, OR
  • NPI 1972913259

  Dermatology

  NPD
• Troy K. Richey, MD PC

  • Dermatology Physician
  • Eugene, OR
  • NPI 1457458192
  NPD

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733529600000",
    "number": "1891548350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 BELTLINE RD",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771091",
            "telephone_number": "541-344-4168",
            "fax_number": "458-201-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 BELTLINE RD",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771091",
            "telephone_number": "541-344-4168",
            "fax_number": "458-201-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON DERMATOLOGY & SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-12-07",
        "certification_date": "2024-12-07",
        "status": "A",
        "authorized_official_last_name": "STEGER",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR/CLINIC MGR",
        "authorized_official_telephone_number": "541-344-4168"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oregon Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oregon Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda G Oppenheimer, MD
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• Oregon CVS Pharmacy LLC (CVS Pharmacy #16158)
• Oregon Directions, LLC
• Oregon Directions, LLC (Zendo Health)
• Oregon Emdr LLC
• Oregon Endoscopy Center, LLC
• Oregon Family Eye Care LLC

• Dermatology Physician in Springfield, OR
• Providers in Springfield, OR by specialty
• Dermatology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.