Individual provider Active NPI

Amandajo Sanders, D.O.

  • Family Medicine Physician
  • Eugene, OR
National Provider Identifier
1932462686
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO171593 Issued in OR
Practice address
3225 Willamette St
Eugene, OR 97405-3309
Phone
(541) 813-5256
NPI assigned
Jun 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X DO171593 OR Primary

Addresses

Primary practice location

3225 Willamette St
Eugene, OR 97405-3309

Mailing address

3225 Willamette St
Eugene, OR 97405-3309
Phone (541) 813-5256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150727002817 OR Practitioner - Family Practice 6507170149 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3225 Willamette St
Suite 1
Eugene, OR 97405-3309
Phone (541) 813-5256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Healthcare Resources, LLC Single Specialty CurrentSince Sep 1, 2015 Accepting new patients
PPC Group LLC Single Specialty CurrentSince Aug 1, 2024 Accepting new patients
Sanders Family Medicine, LLC Single Specialty CurrentSince Jul 1, 2024 Accepting new patients

Locations

3225 Willamette St
Ste 1
Eugene, OR 97405
Phone (541) 686-9715

1835 Pearl St
Eugene, OR 97401
Phone (541) 687-1668

2000 N 19th St
Springfield, OR 97477
Phone (541) 284-1694

Interoperability endpoints

  • Direct secure messaging: asande34@yourcarecommunity.org

Organizations & group practices 3

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": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1932462686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 WILLAMETTE ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053309",
            "telephone_number": "541-813-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 WILLAMETTE ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053309",
            "telephone_number": "541-813-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "AMANDAJO",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO171593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.