BEND PLASTIC & RECONSTRUCTIVE SURGERY, P.C. (NPI# 1447610803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447610803 |
| Entity Type | Organization |
| Organization Name | BEND PLASTIC & RECONSTRUCTIVE SURGERY, P.C. |
| Practice Address |
431 Ne Revere Ave Ste. 200 Bend OR 97701-4189 |
| Practice Telephone | 5417492282 |
| Practice Fax Number | 5417492283 |
| Mailing Telephone | 5417492282 |
| Mailing Fax Number | 5417492283 |
| Enumeration Date | 2016-02-28 |
| Last Update Date | 2016-02-28 |
| Authorized Official Name | ADAM P ANGELES (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 5417847848 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
MD26066 | OR | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | BEND PLASTIC & RECONSTRUCTIVE SURGERY, P.C. | 1239 Ne Medical Center Dr Ste 240, Bend, OR 97701 |
| Street Address |
431 NE REVERE AVE STE. 200 |
| City | BEND |
| State | OR |
| Zip Code | 97701-4189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023069481 | Michael E Villano | Otolaryngology | 431 Ne Revere Ave, Suite B, Bend, OR 97701-6752 | 2006-05-12 |
| 1124202346 | Michael E Villano Md LLC | Otolaryngology | 431 Ne Revere Ave, 110, Bend, OR 97701-4189 | 2007-12-24 |
| 1336209345 | Adam Peter Angeles | Surgery | 431 Ne Revere Ave, Ste 200, Bend, OR 97701-4192 | 2006-12-11 |
| 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 | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356553242 | Three Sisters Cosmetic Surgery LLC | Surgery | 1715 Sw Chandler Ave, Ste 100, Bend, OR 97702-3200 | 2007-05-04 |
| 1336209345 | Adam Peter Angeles | Surgery | 431 Ne Revere Ave, Ste 200, Bend, OR 97701-4192 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023530094 | Northwest Surgical Development | Surgery | 17885 Nw Evergreen Pkwy, Beaverton, OR 97006-7494 | 2017-07-12 |
| 1376733212 | Austin George Hayes | Surgery | 18650 Nw Cornell Rd Ste 324, Hillsboro, OR 97124 | 2007-07-26 |
| 1003980889 | James A Kilgore | Surgery | 19250 Sw 65th Ave #365, Tualatin, OR 97062 | 2006-11-20 |
| 1346266368 | Marcus W Melvin | Surgery | 9200 Sw Barnes Rd, Portland, OR 97225-6624 | 2006-07-14 |
| 1699286468 | Alvin Annen | Surgery | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2017-10-19 |
| 1295187482 | Timothy P Connall Md PC | Surgery | 19801 Sw 72nd Ave, Suite 160, Tualatin, OR 97062-8351 | 2016-07-12 |
| 1477973105 | Christopher Nicholas Stewart | Surgery | 330 S Garden Way Ste 100, Eugene, OR 97401-8177 | 2014-04-21 |
| 1023455490 | Sharon Elaine Monsivais | Surgery | 1900 Woodland Dr, Coos Bay, OR 97420-2099 | 2013-05-26 |
| 1033435672 | Matthew William Lewis | Surgery | 330 S Garden Way, Eugene, OR 97401-8176 | 2010-04-07 |
| 1861677635 | Charles R Starr, Md | Surgery | 550 22nd St, Astoria, OR 97103-3312 | 2007-12-29 |
| 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.