Healthcare Provider Details

I. General information

NPI: 1235319666
Provider Name (Legal Business Name): MICHAEL KARASEK, MD,PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2007
Last Update Date: 06/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

689 E 19TH AVE
EUGENE OR
97401-4304
US

IV. Provider business mailing address

689 E 19TH AVE
EUGENE OR
97401-4304
US

V. Phone/Fax

Practice location:
  • Phone: 541-345-9800
  • Fax: 541-683-3167
Mailing address:
  • Phone: 541-345-9800
  • Fax: 541-683-3167

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number10955
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. MICHAEL E KARASEK
Title or Position: CORPORATE PRESIDENT
Credential: M.D.
Phone: 541-345-9800