Eric A Soder, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD11890 Issued in OR

Practice address

2570 NW Edenbower #101
Roseburg, OR 97470-6214

Phone

(541) 464-4480

Fax

(541) 464-4334

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Roseburg Clinic, P.C.

  • Otolaryngology Physician
  • Roseburg, OR
  • NPI 1841396405
  NPD (past)

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168013",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vickie Laverne Smith, OTR/L
• David Snawder
• Cindy Snelling
• Brent L Soder, M.D.
• David Kent Soder, DDS
• Carmela Rosa Solimine
• Adam Solomon, NURSE PRACTITIONER
• Agatha Song
• Sonus-USA, Inc.
• Shawn Sorensen, CSWA, QMHP, CADCIII

• Surgery Physician in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Surgery Physician in Oregon

• 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.

Verify at the official NPI Registry.