ST. CHARLES HEALTH SYSTEM, INC. (NPI# 1295974491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295974491 |
| Entity Type | Organization |
| Organization Name | ST. CHARLES HEALTH SYSTEM, INC. |
| Other Organization Name | ST. CHARLES CANCER CENTER - BEND |
| Practice Address |
2100 Ne Wyatt Ct Suite 103 Bend OR 97701-7702 |
| Mailing Address |
Po Box 1420 Redmond OR 97756-0400 |
| Practice Telephone | 5417064701 |
| Practice Fax Number | 5417064751 |
| Mailing Telephone | 5415266556 |
| Mailing Fax Number | 5417063765 |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2010-12-24 |
| Authorized Official Name | KAREN M SHEPARD (SR VP FINANCE / CFO) |
| Authorized Official Telephone | 5417067707 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500625168 | 05 |
| Other Name | Type Code |
|---|---|
| ST. CHARLES CANCER CENTER - BEND | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427140870 | St. Charles Health System, Inc. | Durable Medical Equipment & Medical Supplies | 655 Nw Jackpine Avenue, Redmond, OR 97756 | 2006-09-29 |
| 1356389894 | St. Charles Health System, Inc. | Emergency Medicine | 470 Ne A Street, Madras, OR 97741 | 2006-06-04 |
| 1144215542 | St. Charles Health System, Inc. | Home Health | 2275 Ne Doctors Dr Ste 7, Bend, OR 97701-6324 | 2005-09-13 |
| 1164068938 | St. Charles Health System, Inc. | Medicare Defined Swing Bed Unit | 1253 Nw Canal Blvd, Redmond, OR 97756-1334 | 2019-11-26 |
| 1720417710 | St. Charles Health System, Inc. | Clinic/Center | 630 N Arrowleaf Trl, Sisters, OR 97759-2610 | 2013-11-11 |
| 1891099933 | St. Charles Health System, Inc. | Psychiatry & Neurology | 2042 Ne Williamson Ct, Bend, OR 97701-3760 | 2011-01-04 |
| 1144524273 | St. Charles Health System, Inc. | Family Medicine | 2600 Ne Neff Rd, Bend, OR 97701-6337 | 2011-01-04 |
| 1447554589 | St. Charles Health System, Inc. | Obstetrics & Gynecology | 213 Nw Larch Ave, Redmond, OR 97756-1323 | 2011-01-04 |
| 1619271756 | St. Charles Health System, Inc. | Internal Medicine | 2100 Ne Wyatt Ct, Suite 103, Bend, OR 97701-7702 | 2011-01-04 |
| 1528362860 | St. Charles Health System, Inc. | Internal Medicine | 655 Nw Jackpine Avenue, Redmond, OR 97756 | 2010-12-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ST. CHARLES HEALTH SYSTEM, INC. | 2500 Ne Neff Rd, Bend, OR 97701 |
| Street Address |
2100 NE WYATT CT SUITE 103 |
| City | BEND |
| State | OR |
| Zip Code | 97701-7702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114008687 | Dejuan T Singletary, LLC | Psychiatry & Neurology | 2100 Ne Wyatt Ct, Ste 202, Bend, OR 97701-7702 | 2006-10-18 |
| 1619271756 | St. Charles Health System, Inc. | Internal Medicine | 2100 Ne Wyatt Ct, Suite 103, Bend, OR 97701-7702 | 2011-01-04 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962948315 | Robert Kinney | Internal Medicine | 19570 Aster Ln, Bend, OR 97702-2111 | 2017-01-10 |
| 1679717599 | Keith Campbell | Internal Medicine | 62626 Sparrow Hawk Cir, Bend, OR 97701-6788 | 2009-04-22 |
| 1033120050 | Ronald Daniel Rosen | Internal Medicine | 918 Ne 5th St, Bend, OR 97701-4617 | 2006-08-11 |
| 1588693105 | Mark A Backus | Internal Medicine | 2239 Ne Doctors Dr Ste 200, Bend, OR 97701-7185 | 2006-07-03 |
| 1952355828 | David A Donnelly | Internal Medicine | 2115 Ne Wyatt Ct, Suite 201, Bend, OR 97701-7678 | 2006-05-22 |
| 1710931274 | Ponderosa Medical | Internal Medicine | 1558 Sw Nancy Way, Suite 101, Bend, OR 97702-3216 | 2006-05-20 |
| 1619921350 | Carolyn K Day | Internal Medicine | 2175 Nw Shevlin Park Rd, Bend, OR 97703-7101 | 2006-05-19 |
| 1578513552 | Laura Nicholson | Internal Medicine | 2160 Ne Williamson Ct, Bend, OR 97701-3760 | 2006-05-11 |
| 1124092051 | Michael C Widmer | Internal Medicine | 929 Sw Simpson Ave Ste 300, Bend, OR 97702 | 2006-02-15 |
| 1255315826 | Constance Anne Patterson | Internal Medicine | 62930 O B Riley Rd, Bend, OR 97701-9458 | 2005-12-06 |
| Find all providers in BEND | ||||
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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.