BEAR CREEK SURGERY PA PC (NPI# 1962732131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962732131 |
| Entity Type | Organization |
| Organization Name | BEAR CREEK SURGERY PA PC |
| Practice Address |
2200 Bryant Williams Dr Ste 1 Klamath Falls OR 97601-1121 |
| Mailing Address |
1801 Highway 99 N Ashland OR 97520-9152 |
| Practice Telephone | 5414884464 |
| Practice Fax Number | 5415121689 |
| Mailing Telephone | 5414884464 |
| Mailing Fax Number | 5415121689 |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2010-03-11 |
| Authorized Official Name | DR. BERT MONTE STEWART (OWNER) |
| Authorized Official Telephone | 5414884464 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 028245 | 05 |
| Street Address |
2200 BRYANT WILLIAMS DR STE 1 |
| City | KLAMATH FALLS |
| State | OR |
| Zip Code | 97601-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033751912 | Samantha N Lee | Physician Assistant | 2200 Bryant Williams Dr Ste 1, Klamath Falls, OR 97601-1121 | 2019-10-12 |
| 1659898633 | Joshua Aaron Martin | Physician Assistant | 2200 Bryant Williams Dr Ste 1, Klamath Falls, OR 97601-1121 | 2017-08-29 |
| 1093081796 | Luke William Hosack | Student in an Organized Health Care Education/Training Program | 2200 Bryant Williams Dr Ste 1, Klamath Falls, OR 97601-1121 | 2012-03-27 |
| 1780909408 | Jefferson Neurology LLC | Psychiatry & Neurology | 2200 Bryant Williams Dr Ste 1, Klamath Falls, OR 97601-1121 | 2010-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205487311 | Socorro Guadalupe Alcala- Peres | Case Manager/Care Coordinator | 2210 N El Dorado Ave, Klamath Falls, OR 97601 | 2019-09-20 |
| 1033760053 | Melissa Ann Roy | Counselor | 2210 North El Dorado, 2210 North El Dorado, Klamath Falls, OR 97601 | 2019-09-20 |
| 1134699721 | Kristin Asta Ragnarsson | Speech-Language Pathologist | Plum Ridge Care 1401 Bryant Williams, Klamath Falls, OR 97601 | 2018-11-27 |
| 1730667445 | Nancy Leota Baley | Pharmacist | Sky Lakes Outpatient Pharmacy, 2865 Daggett Street, Klamath Falls, OR 97601 | 2018-08-03 |
| 1336511260 | Patricia Blauvelt | Occupational Therapy Assistant | 1401 Bryant Williams Dr, Klamath Falls, OR 97601 | 2015-10-30 |
| 1598160814 | Christopher S. Turner | Counselor | 635 Main St., Klamath Falls, OR 97601 | 2014-10-29 |
| 1134472582 | Whole Person Care Family Practice | Family Medicine | 2301 Mountainview Blvd. Ste B, Klamath Falls, OR 97601 | 2012-10-23 |
| 1255692687 | Billy Dean Vermaas | Physical Medicine & Rehabilitation | 204 N. 10th Street, Klamath Falls, OR 97601 | 2012-06-01 |
| 1407140700 | Wendell C Heidinger Md | Family Medicine | 2301 Clairmont Drive, Klamath Falls, OR 97601 | 2011-06-03 |
| 1740573146 | Klamath Youh Department Center | Community/Behavioral Health | 2210 Eldordo Ave, Klamath Falls, OR 97601 | 2011-05-18 |
| Find all providers in zip 97601 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720614449 | Keith Turner Slicho, Do, PC | Neuromusculoskeletal Medicine & OMM | 700 Ne Multnomah St Ste 330, Portland, OR 97232-4103 | 2020-03-13 |
| 1891165544 | Still Point Osteopathy and Medical Acupuncture, LLC | Neuromusculoskeletal Medicine & OMM | 2955 N Highway 97, Bend, OR 97703-7559 | 2015-10-06 |
| 1336549179 | Anna Lobzova | Neuromusculoskeletal Medicine & OMM | 3620 Nw Samaritan Dr Ste 203a, Corvallis, OR 97330-4714 | 2014-08-29 |
| 1508203332 | Brian Moreaux | Neuromusculoskeletal Medicine & OMM | 850 Siskiyou Blvd Ste 7, Ashland, OR 97520-2125 | 2013-06-03 |
| 1427301035 | Patrick J Wedlake Do PC | Neuromusculoskeletal Medicine & OMM | 85o Siskiyou Blvd, Ste 9, Ashland, OR 97520-2125 | 2012-10-19 |
| 1548402811 | Juliette Sophie Preston | Neuromusculoskeletal Medicine & OMM | 3303 Sw Bond Ave Fl 8, Portland, OR 97239-4501 | 2009-04-01 |
| 1528231636 | Hannah M Fine | Neuromusculoskeletal Medicine & OMM | 1007 Harlow Rd Ste 310, Springfield, OR 97477-7127 | 2008-04-09 |
| 1093841397 | Thomas David Peterson | Neuromusculoskeletal Medicine & OMM | 1178 Charnelton St, Eugene, OR 97401-3431 | 2007-02-23 |
| 1063589323 | Paul E Dart | Neuromusculoskeletal Medicine & OMM | 3495 Harris Street, Eugene, OR 97405-4248 | 2006-11-29 |
| 1629147400 | Paula Lorene Eschtruth | Neuromusculoskeletal Medicine & OMM | 1320 Edgewater St Nw, Suite 110, Salem, OR 97304 | 2006-11-07 |
| Find all providers with the same taxonomy | ||||
| City | KLAMATH FALLS |
| Zip Code | 97601 |
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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.