DR. PATRICK K LEWALLEN (NPI# 1184722795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184722795 |
| Entity Type | Individual |
| Full Name | DR. PATRICK K LEWALLEN |
| Credential | MD |
| Practice Address |
2500 Ne Neff Rd Bend OR 97701-6015 |
| Mailing Address |
501 N Graham Street Suite 265 Portland OR 97227 |
| Practice Telephone | 5413824321 |
| Practice Fax Number | 5417067068 |
| Mailing Telephone | 5032827002 |
| Mailing Fax Number | 5032801290 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
MD14318 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 125658 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 501 N Graham Street, Suite 265, Portland, OR 97227 | 5032827002 | 5032801290 |
| Street Address |
2500 NE NEFF RD |
| City | BEND |
| State | OR |
| Zip Code | 97701-6015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316942709 | Gary D Hood | Emergency Medicine | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2005-06-14 |
| 1053927871 | Chelsey Candida Gersema | Registered Nurse | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2020-09-17 |
| 1225649205 | Jaclyn Silver | Physical Therapist | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2020-08-12 |
| 1528525995 | Steven Diaz | Pharmacist | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2019-02-21 |
| 1043783269 | Cody Weidenhaft | Pharmacist | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2019-01-10 |
| 1063981835 | Cep America - Neurology PC | Psychiatry & Neurology | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2018-11-21 |
| 1447738547 | Victoria Stavish | Pharmacist | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2018-07-31 |
| 1457841173 | Regina M Joshi-mcgaw | Social Worker | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2018-05-17 |
| 1215439435 | Lesley Srikantaiah | Social Worker | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2018-03-03 |
| 1013419530 | Jaclyn Smith | Nurse Practitioner | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2018-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
| 1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
| 1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
| Find all providers in zip 97701 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346373057 | Robert Pfister | Pediatrics | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2007-03-13 |
| 1124190657 | Aryan Azimi Zonooz | Pediatrics | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2006-11-13 |
| 1659483832 | James Smith Mcguire | Pediatrics | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2006-08-31 |
| 1659389112 | Sue Ann Smith | Pediatrics | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831212976 | Douglas Terry Leonard | Pediatrics | 3355 River Bend Dr., Suite 220, Springfield, OR 97477-8800 | 2007-04-06 |
| 1033273453 | John Edward Yount | Pediatrics | 3206 Caribou Ct Nw, Salem, OR 97304-2305 | 2006-12-20 |
| 1992878169 | Michael Adrian Colasurdo | Pediatrics | 3355 Riverbend Dr Ste 220, Springfield, OR 97477-8800 | 2006-11-16 |
| 1073611687 | Breton Charles Freitag | Pediatrics | 501 N Graham Street, Suite 265, Portland, OR 97227 | 2006-09-20 |
| 1457319295 | Sean L Sweeney | Pediatrics | 501 N Graham St Ste 265, Portland, OR 97227-2000 | 2006-05-02 |
| 1124006598 | Thurman Allen Merritt | Pediatrics | 701 N 5th St Unit C1020, Lebanon, OR 97355-9599 | 2006-01-05 |
| 1932641180 | Holly Kay Hunt | Pediatrics | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2016-11-04 |
| 1164765590 | Casey Sterling Ward | Pediatrics | 501 N Graham St Ste 265, Portland, OR 97227-2000 | 2013-04-04 |
| 1003159757 | Megan Furnari | Pediatrics | 3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2013-04-01 |
| 1811254188 | Leah Yieh | Pediatrics | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2012-04-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. PATRICK K LEWALLEN.
| 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.