DAVID BERG KIRKPATRICK (NPI# 1003138256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003138256 |
| Entity Type | Individual |
| Full Name | DAVID BERG KIRKPATRICK |
| Credential | PA |
| Practice Address |
354 W Adams Ave Sisters OR 97759-2619 |
| Mailing Address |
Po Box 670 Bend OR 97709-0670 |
| Practice Telephone | 5415499609 |
| Practice Fax Number | 5412788379 |
| Mailing Telephone | 5038669742 |
| Mailing Fax Number | 5412788379 |
| Enumeration Date | 2010-02-15 |
| Last Update Date | 2018-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA186431 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA60133720 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1706 Washington Way, Longview, WA 986322952 | 3604239580 | 3604239230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811007024 | David Michael Kirkpatrick | Dentist | 1027 High Street, Hamilton, OH 45011-6012 | 2006-08-30 |
| 1376012559 | David Andrew Kirkpatrick | Technician | 1904 Richland Ave Bldg D, Ceres, CA 95307 | 2018-11-17 |
| 1346309747 | David Kirkpatrick | Dentist | 2150 Harden Blvd, Lakeland, FL 33803-5917 | 2006-12-08 |
| 1619954021 | David Dale Kirkpatrick IIi | Surgery | 7502 State Rd, Ste. 1180, Cincinnati, OH 45255-2800 | 2005-12-28 |
| 1568451904 | David L Kirkpatrick | Optometrist | 450 Margaret St, Plattsburgh, NY 12901-1755 | 2005-10-18 |
| Street Address |
354 W ADAMS AVE |
| City | SISTERS |
| State | OR |
| Zip Code | 97759-2619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124506431 | Kaitlyn Traynor | Dentist | 354 W Adams Ave, Sisters, OR 97759-2619 | 2018-07-31 |
| 1518318229 | Highlands Anesthesia, PC | Nurse Anesthetist, Certified Registered | 354 W Adams Ave, Sisters, OR 97759-2619 | 2016-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487164 | Gordon Paul Friesen | Pharmacist | 635 N Arrowleaf Trail, Sisters, OR 97759 | 2020-08-10 |
| 1871110338 | Praxis Medical Group Inc | Orthopaedic Surgery | 354 W. Adams Avenue, Sisters, OR 97759 | 2020-07-01 |
| 1871136036 | Now and Zen Therapy, LLC | Counselor | 475 W. Hwy 20, Sisters, OR 97759 | 2019-10-21 |
| 1679029391 | Taya Louise Newton | Massage Therapist | 161 N. Elm Street, Suite C, Sisters, OR 97759 | 2016-09-01 |
| 1538547625 | Angela Denise Ward | Massage Therapist | 412 E Main Ave, Suite 1, Sisters, OR 97759 | 2015-05-11 |
| 1346632775 | Michelle Farra | Massage Therapist | 164 N. Elm St, Sisters, OR 97759 | 2015-02-23 |
| 1629401575 | Trevor Mathias Bauer Frideres | Dentist | 410 E Cascade Ave, Sisters, OR 97759 | 2013-08-14 |
| 1093089278 | Jeanette Maureen Murphy | Pharmacist | 211 E. Cascade Avenue, Sisters, OR 97759 | 2012-03-06 |
| 1659644516 | Andrew T Mohler | Pharmacist | 445 W Hwy 20, Sisters, OR 97759 | 2012-02-22 |
| 1053684597 | Central Oregon Eyecare, PC | Optometrist | 625 N Arrowleaf Trail, Ste 103, Sisters, OR 97759 | 2012-02-14 |
| Find all providers in zip 97759 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808605 | Pilar Lorena Lopez | Physician Assistant | 7675 Sw Spruce St, Tigard, OR 97223-8723 | 2020-10-15 |
| 1730787615 | Michael Hisao Mun Ho Pang | Physician Assistant | 1245 Sw 160th Ave, Beaverton, OR 97006-5052 | 2020-10-13 |
| 1144834805 | Logan Michael Johnston | Physician Assistant | 3319 Edgeview Ln, Forest Grove, OR 97116-1094 | 2020-09-01 |
| 1285255851 | Darby Samantha Jalbert | Physician Assistant | 2480 Liberty St Ne Ste 110, Salem, OR 97301-8381 | 2020-05-05 |
| 1033751433 | Trisha K Loch | Physician Assistant | 781 W Central, Sutherlin, OR 97479 | 2019-10-17 |
| 1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
| 1740797166 | Joseph Something | Physician Assistant | 4800 Sw 76th Ave, Portland, OR 97225-1804 | 2018-01-08 |
| 1235687013 | Satchel Harry | Physician Assistant | 417 Sw 117th Ave Fl 2, Portland, OR 97225-5924 | 2016-09-21 |
| 1093263386 | Megan Smith | Physician Assistant | 375 Park Ave Ste 5, Coos Bay, OR 97420 | 2016-09-14 |
| 1659828044 | Ryan Jones | Physician Assistant | 1775 Thompson Rd Bay Or97420, Coos Bay, OR 97420-2125 | 2016-09-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.