Active NPI
Eric A Soder, MD
- Surgery Physician
- Roseburg, OR
National Provider Identifier
1992887103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD11890
- Practice address
- 2570 NW Edenbower #101
Roseburg, OR 97470-6214 - Phone
- (541) 464-4480
- Fax
- (541) 464-4334
- NPI assigned
- Oct 19, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD11890 | OR | Primary |
Addresses
Primary practice location
2570 NW Edenbower #101
Roseburg, OR 97470-6214
Mailing address
2570 NW Edenbower #101
Roseburg, OR 97470-6214
Phone (541) 464-4480
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roseburg Clinic, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992887103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2570 NW EDENBOWER #101",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974706214",
"telephone_number": "541-464-4480",
"fax_number": "541-464-4334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2570 NW EDENBOWER #101",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974706214",
"telephone_number": "541-464-4480",
"fax_number": "541-464-4334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SODER",
"first_name": "ERIC",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OR",
"license": "MD11890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseburg, 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.