Ivan Nicolas Vial (NPI# 1811284433, PAC ID# 2163704933) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1811284433 |
| PAC ID by PECOS | 2163704933 |
| Professional Enrollment ID | I20170201001867 |
| Full Name | Ivan Nicolas Vial |
| Organization Legal Name | INVMD PLASTIC SURGERY LLC |
| Address |
3001 Daggett Ave Suite 101 Klamath Falls OR 97601-1126 |
| Phone Number | 5413170808 |
| Gender | M |
| Medical School | STANFORD UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 1254613029 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380047 | ST CHARLES MEDICAL CENTER - BEND |
| Address | Phone | Organization |
|---|---|---|
| 2450 Ne Mary Rose Pl, Suite 201, Bend, OR 97701-7133 | 5413170808 | INVMD PLASTIC SURGERY LLC |
| 3001 Daggett Ave, Suite 101, Klamath Falls, OR 97601-1126 | 5413170808 | INVMD PLASTIC SURGERY LLC |
| Organization Legal Name | INVMD PLASTIC SURGERY LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer H Mccaffrey | Physician Assistant | Invmd Plastic Surgery LLC | 3001 Daggett Ave, Suite 101, Klamath Falls, OR 97601-1126 |
| Street Address |
3001 DAGGETT AVE SUITE 101 |
| City | KLAMATH FALLS |
| State | OR |
| Zip | 97601-1126 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monna Lee Alwine | Nurse Practitioner | Sky Lakes Medical Center Inc | 3001 Daggett Ave, Suite 101, Klamath Falls, OR 97601-1126 |
| Chin Hee Jun | Internal Medicine | Sky Lakes Medical Center Inc | 3001 Daggett Ave, Suite 101, Klamath Falls, OR 97601-1126 |
| Jennifer H Mccaffrey | Physician Assistant | Invmd Plastic Surgery LLC | 3001 Daggett Ave, Suite 101, Klamath Falls, OR 97601-1126 |
| Debra C Hartley | Family Medicine | Sky Lakes Medical Center Inc | 3001 Daggett Ave, Suite 102, Klamath Falls, OR 97601-1126 |
| Gregory H Wlodarski | Family Medicine | Sky Lakes Medical Center Inc | 3001 Daggett Ave, Suite 102, Klamath Falls, OR 97601-1126 |
| Anne B Pelletier | Nurse Practitioner | Sky Lakes Medical Center Inc | 3001 Daggett Ave, Suite 102, Klamath Falls, OR 97601-1126 |
| Beata Sims | Nurse Practitioner | Sky Lakes Medical Center Inc | 3001 Daggett Ave, Suite 101, Klamath Falls, OR 97601-1126 |
| Daniel T Jones | Nurse Practitioner | Sky Lakes Medical Center Inc | 3001 Daggett Ave, Suite 102, Klamath Falls, OR 97601-1126 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristine L Taylor | Chiropractic | 2575 Campus Dr, Klamath Falls, OR 97601-1102 | |
| David M Chadbourne | Urology | Sky Lakes Medical Center Inc | 2630 Campus Dr, Klamath Falls, OR 97601-1105 |
| Raul A Mirande | General Surgery | 2664 Campus Dr, Klamath Falls, OR 97601-1105 | |
| Brady William Sweat | Nurse Practitioner | Sky Lakes Medical Center Inc | 2865 Daggett Ave, Sky Lakes Medical Center, Klamath Falls, OR 97601-1106 |
| Lien Ly | Emergency Medicine | Sky Lakes Medical Center Inc | 2865 Daggett Ave, Sky Lakes Medical Center, Klamath Falls, OR 97601-1106 |
| Dwight W Smith | Family Medicine | Sky Lakes Medical Center Inc | 2865 Daggett Ave, Sky Lakes Medical Center, Klamath Falls, OR 97601-1106 |
| Sharon K Cowie | Nurse Practitioner | Sky Lakes Medical Center Inc | 2865 Daggett Ave, Sky Lakes Medical Center, Klamath Falls, OR 97601-1106 |
| Beverly H Bauman | Emergency Medicine | Sky Lakes Medical Center Inc | 2865 Daggett Ave, Sky Lakes Medical Center, Klamath Falls, OR 97601-1106 |
| Charles K Cofas | Internal Medicine | Sky Lakes Medical Center Inc | 2865 Daggett Ave, Sky Lakes Medical Center, Klamath Falls, OR 97601-1106 |
| Radu C Moisa | Family Medicine | Sky Lakes Medical Center Inc | 2865 Daggett Ave, Sky Lakes Medical Center, Klamath Falls, OR 97601-1106 |
| Find all physicians in zip 97601 | |||
| City | KLAMATH FALLS |
| Zip Code | 97601 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | KLAMATH FALLS + PLASTIC AND RECONSTRUCTIVE SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.