| Essential Healthcare Group | |
|
1755 Coburg Rd Unit 301 Eugene OR 97401-4900 | |
| (458) 234-0082 | |
| (458) 234-0083 |
| Full Name | Essential Healthcare Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 1755 Coburg Rd Unit 301, Eugene, Oregon |
| Authorized Official Name and Position | Katherine Renee Judkins (VICE PRESIDENT) |
| Authorized Official Contact | 6152403770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Essential Healthcare Group 1a Burton Hills Blvd Nashville TN 37215-6187 Ph: (615) 263-5579 | Essential Healthcare Group 1755 Coburg Rd Unit 301 Eugene OR 97401-4900 Ph: (458) 234-0082 |
| NPI Number | 1912521105 |
|---|---|
| Provider Enumeration Date | 06/03/2020 |
| Last Update Date | 02/27/2023 |
| Medicare PECOS PAC ID | 2365867397 |
|---|---|
| Medicare Enrollment ID | O20200806003490 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912521105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Richard H Bochner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881621290 PECOS PAC ID: 3971590043 Enrollment ID: I20040429000799 |
| Provider Name | Sandra Holloway |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902898729 PECOS PAC ID: 9436055852 Enrollment ID: I20060321000098 |
| Provider Name | Harry H Park |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467430959 PECOS PAC ID: 1254433089 Enrollment ID: I20070226000607 |
| Provider Name | Sarah J Brendler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609827278 PECOS PAC ID: 9133012206 Enrollment ID: I20120116000137 |
| Provider Name | Craig Randall Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477717130 PECOS PAC ID: 8729155080 Enrollment ID: I20191216001905 |
| Provider Name | Khola Qamar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083974299 PECOS PAC ID: 6305142654 Enrollment ID: I20221230001213 |
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