EAGLE POINT PEDIATRICS – NPI #1588700819
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Health Care Provider Taxonomy Code for Clinic/Center

EAGLE POINT PEDIATRICS is an AHC clinic located in EAGLE POINT, OR. NPPES has assigned the NPI number 1588700819 to EAGLE POINT PEDIATRICS on January 30, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EAGLE POINT PEDIATRICS” is a dba name, the actual legal business name for this organization is GREG GONZALEZ PEDIATRICS. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EAGLE POINT PEDIATRICS below.

NPI Profile for
GREG GONZALEZ PEDIATRICS

NPI Number
1588700819
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GREG GONZALEZ PEDIATRICS
Doing Business As (dba): EAGLE POINT PEDIATRICS
Primary location
275 LOTO STREET
EAGLE POINT, OR 97524
Phone: (541) 830-4060 Fax: (541) 830-4090
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GREG GONZALEZ
OWNER
Phone: (541) 830-4060
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)		 OR MD23838

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.