Drury H Hall (NPI# 1285954511, PAC ID# 5294868923) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1285954511 |
| PAC ID by PECOS | 5294868923 |
| Professional Enrollment ID | I20141027000604 |
| Full Name | Drury H Hall |
| Organization Legal Name | NORTHWEST MEDICAL SPECIALIST LLC |
| Address |
2115 Ne Wyatt Ct 201 Nw Brain and Spine Bend OR 97701-7678 |
| Phone Number | 5415852400 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3971562414 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380047 | ST CHARLES MEDICAL CENTER - BEND |
| Address | Phone | Organization |
|---|---|---|
| 2115 Ne Wyatt Ct, 201 Nw Brain and Spine, Bend, OR 97701-7678 | 5415852400 | NORTHWEST MEDICAL SPECIALIST LLC |
| Organization Legal Name | NORTHWEST MEDICAL SPECIALIST LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kent D Yundt | Neurosurgery | Northwest Medical Specialist LLC | 2115 Ne Wyatt Ct, Suite 201, Bend, OR 97701-7680 |
| Jason K Winebarger | Physician Assistant | Northwest Medical Specialist LLC | 2115 Ne Wyatt Ct, Suite 201, Bend, OR 97701-7680 |
| Anthony G Hadden | Neurosurgery | Northwest Medical Specialist LLC | 2115 Ne Wyatt Ct, 201 Nw Brain and Spine, Bend, OR 97701-7678 |
| Andreanna J Holmberg | Physician Assistant | Northwest Medical Specialist LLC | 2115 Ne Wyatt Ct, Suite 201, Bend, OR 97701-7680 |
| Daniel Minter | Physician Assistant | Northwest Medical Specialist LLC | 2115 Ne Wyatt Ct, Suite 201, Bend, OR 97701-7680 |
| Anna G Harnish | Physician Assistant | Northwest Medical Specialist LLC | 2115 Ne Wyatt Ct, Suite 201, Bend, OR 97701-7680 |
| Street Address |
2115 NE WYATT CT 201 NW BRAIN AND SPINE |
| City | BEND |
| State | OR |
| Zip | 97701-7678 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael E Wettstein | Interventional Pain Management | Central Oregon Spine and Sports LLC | 2115 Ne Wyatt Ct, Suite 101, Bend, OR 97701-7679 |
| Kent D Yundt | Neurosurgery | Northwest Medical Specialist LLC | 2115 Ne Wyatt Ct, Suite 201, Bend, OR 97701-7680 |
| Jason K Winebarger | Physician Assistant | Northwest Medical Specialist LLC | 2115 Ne Wyatt Ct, Suite 201, Bend, OR 97701-7680 |
| Anthony G Hadden | Neurosurgery | Northwest Medical Specialist LLC | 2115 Ne Wyatt Ct, 201 Nw Brain and Spine, Bend, OR 97701-7678 |
| Philip C Wallace | Sports Medicine | Central Oregon Spine and Sports LLC | 2115 Ne Wyatt Ct, Suite 101, Bend, OR 97701-7679 |
| Andreanna J Holmberg | Physician Assistant | Northwest Medical Specialist LLC | 2115 Ne Wyatt Ct, Suite 201, Bend, OR 97701-7680 |
| Daniel Minter | Physician Assistant | Northwest Medical Specialist LLC | 2115 Ne Wyatt Ct, Suite 201, Bend, OR 97701-7680 |
| Kristine A Laughlin Hall | Physician Assistant | Central Oregon Spine and Sports LLC | 2115 Ne Wyatt Ct, Suite 101, Bend, OR 97701-7679 |
| Anna G Harnish | Physician Assistant | Northwest Medical Specialist LLC | 2115 Ne Wyatt Ct, Suite 201, Bend, OR 97701-7680 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria T Allen | Physician Assistant | Neuromusculoskeletal Center of The Cascades PC | 1501 Ne Medical Clinic Dr, Bend Memorial Clinic, Bend, OR 97701 |
| Mark K Spencer | Physician Assistant | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Kimberly Ann Kleaveland | Nurse Practitioner | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Brent C Wesenberg | Emergency Medicine | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Brett I Gingold | Orthopedic Surgery | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Courtney Nicole Walker | Gastroenterology | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Katrina Cypcar | Physician Assistant | Neuromusculoskeletal Center of The Cascades PC | 1501 Ne Medical Clinic Dr, Bend Memorial Clinic, Bend, OR 97701 |
| Derek Beeson Smith | Orthopedic Surgery | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Mary P Manfredi | Internal Medicine | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Ashley Moore Mcclary | Obstetrics/gynecology | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Find all physicians in zip 97701 | |||
| City | BEND |
| Zip Code | 97701 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BEND + NURSE PRACTITIONER |
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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.