Laura S Nicholson (NPI# 1578513552, PAC ID# 5193728384) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1578513552 |
| PAC ID by PECOS | 5193728384 |
| Professional Enrollment ID | I20170425000595 |
| Full Name | Laura S Nicholson |
| Organization Legal Name | BEND MEMORIAL CLINIC PC |
| Address |
865 Sw Veterans Way Redmond OR 97756-2563 |
| Phone Number | 5413822811 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7214936533 |
| Number of Group Practice Members | 127 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380047 | ST CHARLES MEDICAL CENTER - BEND |
| 380040 | ST CHARLES REDMOND |
| Address | Phone | Organization |
|---|---|---|
| 865 Sw Veterans Way, Redmond, OR 97756-2563 | 5413822811 | BEND MEMORIAL CLINIC PC |
| Organization Legal Name | BEND MEMORIAL CLINIC PC |
| Physicians | 138 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan A Mcfadyen | Nurse Practitioner | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
| Adam N Williams | Allergy/immunology | Bend Memorial Clinic PC | 815 Sw Bond St, Suite 100, Bend, OR 97702-3593 |
| May S Fan | Family Medicine | Bend Memorial Clinic PC | 231 E Cascade Ave, Sisters, OR 97759-1140 |
| Tonya I Koopman | Nurse Practitioner | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
| Matt S Ashley | Urology | Bend Memorial Clinic PC | 2500 Ne Neff Rd, St. Charles Medical Center Bend, Bend, OR 97701-6015 |
| Jaclyn E Smith | Nurse Practitioner | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
| Scott T O Connor | Ophthalmology | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
| Michael N Harris | Internal Medicine | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
| John R Allen | Internal Medicine | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
| Jennifer K Mitchell | Family Medicine | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
| Street Address |
865 SW VETERANS WAY |
| City | REDMOND |
| State | OR |
| Zip | 97756-2563 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leslie M Brott | Family Medicine | Bend Memorial Clinic PC | 865 Sw Veterans Way, Redmond, OR 97756-2563 |
| Mark D Sternfeld | Internal Medicine | Bend Memorial Clinic PC | 865 Sw Veterans Way, Redmond, OR 97756-2563 |
| Sidney E Henderson Iii | Gastroenterology | Bend Memorial Clinic PC | 865 Sw Veterans Way, Redmond, OR 97756-2563 |
| David W Seiffert | Nurse Practitioner | Bend Memorial Clinic PC | 865 Sw Veterans Way, Redmond, OR 97756-2563 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Berg Kirkpatrick | Physician Assistant | Praxis Medical Group Inc | 1001 Canal Blvd, Womens Center of Central Oregon, Redmond, OR 97756 |
| Chloe Kay Norris | Physician Assistant | Praxis Medical Group Inc | 1001 Canal Blvd, Womens Center of Central Oregon, Redmond, OR 97756 |
| Bonnie Marie Dittmann | Physician Assistant | Praxis Medical Group Inc | 1001 Canal Blvd, Womens Center of Central Oregon, Redmond, OR 97756 |
| Ellen K Schoenfelder | Family Medicine | Praxis Medical Group Inc | 1001 Canal Blvd, Womens Center of Central Oregon, Redmond, OR 97756 |
| Kevin T Miller | Family Medicine | Praxis Medical Group Inc | 1001 Canal Blvd, Womens Center of Central Oregon, Redmond, OR 97756 |
| Jonathan C Hitzman | Family Medicine | Praxis Medical Group Inc | 1001 Canal Blvd, Womens Center of Central Oregon, Redmond, OR 97756 |
| Danielle Kathryn Addleman | Physician Assistant | Praxis Medical Group Inc | 1001 Canal Blvd, Womens Center of Central Oregon, Redmond, OR 97756 |
| Jacob Stephen Davison | Physician Assistant | Praxis Medical Group Inc | 1001 Canal Blvd, Womens Center of Central Oregon, Redmond, OR 97756 |
| Katie J Cole | Physical Therapy | 2775 Sw 17th Pl, Suite 1, Redmond, OR 97756-1254 | |
| Michael P Thille | Chiropractic | Chiropractic Associates PC | 117 Nw Larch Ave, Redmond, OR 97756-1322 |
| Find all physicians in zip 97756 | |||
| City | REDMOND |
| Zip Code | 97756 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | REDMOND + INTERNAL MEDICINE |
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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.