Active NPI
Eric Reid Von Borstel, M.D.
- Anesthesiology Physician
- Stayton, OR
National Provider Identifier
1912002171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD21288
- Practice address
- 41348 Kingston-Lyons Dr. S.E.
Stayton, OR 97383-9711 - Phone
- (503) 769-5797
- NPI assigned
- Sep 13, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD21288 | OR | Primary |
Addresses
Primary practice location
41348 Kingston-Lyons Dr. S.E.
Stayton, OR 97383-9711
Mailing address
41348 Kingston-Lyons Dr. S.E.
Stayton, OR 97383-9711
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD21288 | OR | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912002171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41348 KINGSTON-LYONS DR. S.E.",
"city": "STAYTON",
"state": "OR",
"postal_code": "973839711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41348 KINGSTON-LYONS DR. S.E.",
"city": "STAYTON",
"state": "OR",
"postal_code": "973839711",
"telephone_number": "503-769-5797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VON BORSTEL",
"first_name": "ERIC",
"middle_name": "REID",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OR",
"license": "MD21288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stayton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.