OREGON TRAIL HEALTH CARE (NPI# 1851679583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851679583 |
| Entity Type | Organization |
| Organization Name | OREGON TRAIL HEALTH CARE |
| Other Organization Name | PCA PAIN CARE CENTER |
| Practice Address |
1693 Sw Chandler Ave 260 Bend OR 97702-3236 |
| Practice Telephone | 8009099220 |
| Practice Fax Number | 8016651882 |
| Mailing Telephone | 8009099220 |
| Mailing Fax Number | 8016651882 |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2012-06-11 |
| Authorized Official Name | ROB MILLER (FRANCHISEE) |
| Authorized Official Telephone | 8009099220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PCA Pain Care Center | Doing Business As Name - Organization |
| Street Address |
1693 SW CHANDLER AVE 260 |
| City | BEND |
| State | OR |
| Zip Code | 97702-3236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548258320 | Scott Vincent Olson | Chiropractor | 1693 Sw Chandler Ave, Ste 130, Bend, OR 97702-3236 | 2005-10-06 |
| 1639530249 | Pro Motion Physical Therapy of Bend | Physical Therapist | 1693 Sw Chandler Ave, Suite 140, Bend, OR 97702-3236 | 2016-03-09 |
| 1346633294 | Deschutes Orthopedics, LLC | Orthopaedic Surgery | 1693 Sw Chandler Ave, Suite 250, Bend, OR 97702-3236 | 2015-03-16 |
| 1295075984 | Summit Health Solutions | Pain Medicine | 1693 Sw Chandler Ave, Suite 260, Bend, OR 97702-3236 | 2013-02-18 |
| 1013228295 | William Blake Matlock | Physical Therapist | 1693 Sw Chandler Ave, Suite 140, Bend, OR 97702-3236 | 2010-06-23 |
| 1588835383 | Rod Wigle M.d., LLC | Orthopaedic Surgery | 1693 Sw Chandler Ave, 250, Bend, OR 97702-3236 | 2008-03-19 |
| 1447429360 | Olson Chiropractic Wellness Center | Chiropractor | 1693 Sw Chandler Ave, St 130, Bend, OR 97702-3236 | 2008-02-25 |
| 1265587372 | James O. Cunnington II | Dentist | 1693 Sw Chandler Ave, #280, Bend, OR 97702-3236 | 2007-01-25 |
| 1205813110 | Rodney Phillip Wigle | Orthopaedic Surgery | 1693 Sw Chandler Ave, Suite 250, Bend, OR 97702-3236 | 2005-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
| 1497385215 | Capacity Performance Therapy | Physical Medicine & Rehabilitation | 61125 Lodgepole Dr., Bend, OR 97702 | 2020-01-21 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
| 1013485754 | Elana Leah Pesah | Social Worker | 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 | 2018-11-12 |
| 1104303239 | Kyleigh Mcvey | Massage Therapist | 999 Sw Disk Dr, Bend, OR 97702 | 2018-07-21 |
| 1477042869 | Siloe Castaneda Huerta | Counselor | 1340 Nw Wall, Bend, Or, Bend, OR 97702 | 2018-05-02 |
| 1164910808 | Rebecca M Joyce | Social Worker | 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 | 2018-04-27 |
| 1093217978 | Jennifer Bury | Acupuncturist | 296 Sw Columbia St Ste D1, Bend, OR 97702 | 2018-03-06 |
| Find all providers in zip 97702 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568083517 | Deschutes Pain Specialists LLC | Anesthesiology | 2235 Nw Shevlin Park Rd Ste 100, Bend, OR 97703-7111 | 2020-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912346461 | Vishal Khemlani | Anesthesiology | 6464 Sw Borland Rd Ste A2, Tualatin, OR 97062-8854 | 2013-06-18 |
| 1316140965 | Russell Robert Kinder | Anesthesiology | 10000 Se Main St Ste 128, Portland, OR 97216-2462 | 2007-06-08 |
| 1124075791 | Gregory Gullo | Anesthesiology | 2020 8th Ave, Suite 200, West Linn, OR 97068-4657 | 2006-05-28 |
| 1851353502 | Ahmed Ebeid | Anesthesiology | 851 Ne Baker St Ste 1, Mcminnville, OR 97128-4991 | 2006-04-06 |
| 1992798169 | Timothy L Kelly | Anesthesiology | 831 Nw Council Dr, Suite 300, Gresham, OR 97030-3721 | 2005-08-23 |
| 1013911361 | Brett T Quave | Anesthesiology | 701 Golf View Dr, Medford, OR 97504-9643 | 2005-06-01 |
| 1942675467 | Pain Care Specialists of Oregon, LLC | Anesthesiology | 2480 Liberty St Ne Ste 180, Salem, OR 97301-8388 | 2015-12-09 |
| 1487023388 | Comprehensive Pain Care, LLC | Anesthesiology | 842 E Main St, Medford, OR 97504-7134 | 2015-09-21 |
| 1235520503 | Andrew Oh Md PC | Anesthesiology | 140 Nw 14th Ave, Portland, OR 97209-2601 | 2015-02-09 |
| 1558751958 | Washington Center for Pain Management LLC | Anesthesiology | 11786 Sw Barnes Rd, Suite 270, Portland, OR 97225-5929 | 2015-01-23 |
| 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.