BEND SURGERY CENTER LLC (NPI# 1376536482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376536482 |
Entity Type | Organization |
Organization Name | BEND SURGERY CENTER LLC |
Other Organization Name | BEND SURGERY CENTER |
Practice Address |
1303 Ne Cushing Dr Suite 200 Bend OR 97701-3887 |
Mailing Address |
20 Burton Hills Blvd Ste 500 Attn: L&c Nashville TN 37215-6176 |
Practice Telephone | 5413180858 |
Practice Fax Number | 5413186740 |
Mailing Telephone | 6152403820 |
Mailing Fax Number | 6152341720 |
Enumeration Date | 2005-08-24 |
Last Update Date | 2014-07-09 |
Authorized Official Name | MR. PHILLIP CLENDENIN (PRESIDENT OF LLC) |
Authorized Official Telephone | 6156651283 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
393625 | OR | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | RAILROAD MEDICARE | 490003631 | 01 |
OR | 165497 | 05 |
Other Name | Type Code |
---|---|
Bend Surgery Center | Doing Business As Name - Organization |
Street Address |
1303 NE CUSHING DR SUITE 200 |
City | BEND |
State | OR |
Zip Code | 97701-3887 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770581415 | Jeffrey Arthur Holmboe | Orthopaedic Surgery | 1303 Ne Cushing Dr, Ste 100, Bend, OR 97701-3887 | 2005-07-07 |
1225490162 | Rebound Physical Therapy Limited Partnership | Durable Medical Equipment & Medical Supplies | 1303 Ne Cushing Dr, Suite 150, Bend, OR 97701-3887 | 2016-03-21 |
1164888764 | Rebound Physical Therapy Limited Partnership | Occupational Therapist | 1303 Ne Cushing Dr, Suite 150, Bend, OR 97701-3887 | 2016-01-12 |
1235405267 | Kathryn Caba | Physician Assistant | 1303 Ne Cushing Dr, Ste 100, Bend, OR 97701-3887 | 2012-03-23 |
1679884027 | Physicians of Central Oregon, LLC | Orthopaedic Surgery | 1303 Ne Cushing Dr, Suite 100, Bend, OR 97701-3887 | 2010-06-30 |
1184947327 | Jody Shonn Vance | Acupuncturist | 1303 Ne Cushing Dr, Suite 150, Bend, OR 97701-3887 | 2010-03-02 |
1245462894 | Erin E Finter | Orthopaedic Surgery | 1303 Ne Cushing Dr, Ste 100, Bend, OR 97701-3887 | 2009-08-17 |
1780828038 | Rebound Physical Therapy II, LLC | Acupuncturist | 1303 Ne Cushing Dr, Suite 150, Bend, OR 97701-3887 | 2009-04-29 |
1871737122 | Rebound Physical Therapy II, LLC | Prosthetic/Orthotic Supplier | 1303 Ne Cushing Dr, Suite 150, Bend, OR 97701-3887 | 2009-04-29 |
1083852776 | Lindsey E Hagen | Physical Therapist | 1303 Ne Cushing Dr, Suite 150, Bend, OR 97701-3891 | 2009-02-03 |
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 | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457826125 | Central Oregon Surgical Institute, LLC | Clinic/Center | 1550 Ne 27th St Ste 110, Bend, OR 97701-7728 | 2018-10-09 |
1760861835 | Central Oregon Surgery Center LLC | Clinic/Center | 1835 Nw Pence Ln Ste 100, Bend, OR 97703-1551 | 2015-05-22 |
1477949766 | Deschutes Surgery Center, LLC | Clinic/Center | 2115 Ne Wyatt Ct, Suite 105, Bend, OR 97701-7678 | 2015-04-13 |
1346545589 | Central Oregon Surgery Center | Clinic/Center | 2400 Ne Neff Rd, Suite B, Bend, OR 97701-6752 | 2011-01-19 |
1174551758 | Asc Gi Diagnostic Center, LLC | Clinic/Center | 2084 Ne Professional Ct, Bend, OR 97701-6077 | 2006-06-30 |
1417906660 | Doctors Park Surgery Center, LLC | Clinic/Center | 2090 Ne Wyatt Ct, Suite 102, Bend, OR 97701-7687 | 2006-05-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
1962920751 | West End Surgical, LLC | Clinic/Center | 9405 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-09-01 |
1588181275 | Chase Gardens Surgery Center LLC | Clinic/Center | 360 S Garden Way Ste 100, Eugene, OR 97401-8173 | 2017-08-24 |
1164946984 | Northwest Renal Clinic, Inc. | Clinic/Center | 9701 Sw Barnes Rd Ste 110, Portland, OR 97225-6774 | 2017-08-02 |
1679939318 | Crater Lake Surgery Center LLC | Clinic/Center | 833 Bennett Ave, Medford, OR 97504-6715 | 2016-01-11 |
1902287469 | Gateway Dental Surgery Center | Clinic/Center | 10535 Ne Glisan St Ste 101, Portland, OR 97220-4095 | 2015-06-10 |
1972902286 | Oregon Specialists Surgery Center LLC | Clinic/Center | 2785 River Rd S, Salem, OR 97302-5883 | 2014-08-22 |
1649612698 | Willamette Procedure Center PC | Clinic/Center | 2020 8th Ave Ste 212, West Linn, OR 97068-4657 | 2013-07-18 |
1780959007 | Columbia River Surgery Center LLC | Clinic/Center | 9820 Ne Cascades Pkwy, Portland, OR 97220-6825 | 2012-03-20 |
1487933172 | Mt. Scott Surgery Center, LLC | Clinic/Center | 9300 Se 91st Ave Ste 101, Clackamas, OR 97086-3762 | 2011-08-11 |
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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.