GLENN M KOTEEN M.D., LLC


Address: 2450 Ne Mary Rose Pl, Ste 210, Bend, OR 97701-7132
Phone: 5417280535

GLENN M KOTEEN M.D., LLC (NPI# 1407021348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407021348
Entity Type Organization
Organization Name GLENN M KOTEEN M.D., LLC
Other Organization Name GASTROENTEROLOGY OF CENTRAL OREGON
Practice Address 2450 Ne Mary Rose Pl
Ste 210
Bend
OR 97701-7132
Practice Telephone 5417280535
Practice Fax Number 5416475125
Mailing Telephone 5417280535
Mailing Fax Number 5416475125
Enumeration Date 2008-04-22
Last Update Date 2008-11-14
Authorized Official Name DR. GLENN M KOTEEN (OWNER/PHYSICIAN)
Authorized Official Telephone 5417280535
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
MD25338 OR Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OR 022737 05
OR MEDICARE # 120175 01

Other Provider/Organization Names

Other Name Type Code
Gastroenterology of Central Oregon Doing Business As Name - Organization

Office Location

Street Address 2450 NE MARY ROSE PL
STE 210
City BEND
State OR
Zip Code 97701-7132

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295730158 Peter Edward Palacio Obstetrics & Gynecology 2450 Ne Mary Rose Pl, Suite 220, Bend, OR 97701-7132 2005-06-16
1639614951 Invmd Plastic Surgery LLC Plastic Surgery 2450 Ne Mary Rose Pl, Ste 200, Bend, OR 97701-7132 2016-12-21
1356782908 John A. Murphy Md PC Obstetrics & Gynecology 2450 Ne Mary Rose Pl, #220, Bend, OR 97701-7132 2013-07-11
1083054373 Peter E. Palacio, M.d., PC Obstetrics & Gynecology 2450 Ne Mary Rose Pl, Suite 220, Bend, OR 97701-7132 2013-07-01
1093010985 Andrew P Higgins Md-surgeon LLC Surgery 2450 Ne Mary Rose Pl, Suite 205, Bend, OR 97701-7132 2011-01-24
1912154089 Jacqueline D Lebrun Audiologist-Hearing Aid Fitter 2450 Ne Mary Rose Pl, Ste 120, Bend, OR 97701-7132 2008-08-20
1457524985 Emilie M Hart-hutter Audiologist 2450 Ne Mary Rose Pl, 120, Bend, OR 97701-7132 2008-04-04
1750590238 Justin D Hill Otolaryngology 2450 Ne Mary Rose Pl, Bend, OR 97701-7132 2007-05-22
1770797060 Ida Alul Ophthalmology 2450 Ne Mary Rose Pl, Suite 110, Bend, OR 97701-7132 2007-05-09
1528271707 Patricia O Buehler Ophthalmology 2450 Ne Mary Rose Pl, Suite 110, Bend, OR 97701 2007-05-07
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063026466 Kyle D. Homertgen Bend Osteopathic Care PC Clinic/Center 147 Sw Shevlin Hixon Dr Ste 204, Bend, OR 97702-1137 2020-09-02
1417316191 Ronald Guiley Od, Mph, PC Clinic/Center 63455 N Hwy 97, Ste 75, Bend, OR 97703 2016-02-23
1356745301 Deschutes Health LLC Clinic/Center 612 Ne Savannah Dr, Suite 1, Bend, OR 97701-4874 2014-10-20
1720331994 Wendy Weintrob Inc Clinic/Center 701 Nw Arizona Ave, Suite 200, Bend, OR 97701-3298 2012-10-24
1467951962 Active Motion Chiropractic Clinic/Center 2955 N Hwy 97, Bend, OR 97703-7559 2018-02-09
1295274520 Pure Light Family Chiropractic, LLC Clinic/Center 155 Sw Century Dr, Bend Pilates, Bend, OR 97702-1657 2017-02-20
1043653777 Gary D Buchholz Md PC Clinic/Center 2275 Ne Doctors Dr, Suite 9, Bend, OR 97701-6324 2013-04-11
1174868020 Bend Osteopathic Care, PC Clinic/Center 147 Sw Shevlin Hixon Dr, Suite 204, Bend, OR 97702-3130 2012-12-04
1073886412 Lifetime Vision Care LLC Clinic/Center 901 Nw Carlon Ave, Suite 2, Bend, OR 97703-2636 2012-02-15
1477655264 All Womens Care P C Clinic/Center 25 Nw Louisiana Ave, Ste 100, Bend, OR 97701-3203 2006-09-02
Find all providers in BEND

Competitor

Search similar providers

City BEND
Zip Code 97701

Improve Information

Please comment or provide details below to improve the information on GLENN M KOTEEN M.D., LLC.

Dataset Information

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.

Trending Searches