Jeanne M Wadsworth (NPI# 1669417036, PAC ID# 5698662450) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1669417036 |
| PAC ID by PECOS | 5698662450 |
| Professional Enrollment ID | I20040304000560 |
| Full Name | Jeanne M Wadsworth |
| Organization Legal Name | CENTRAL OREGON RADIOLOGY ASSOC., P.C. |
| Address |
1460 Ne Medical Ctr Dr Bend OR 97701-6061 |
| Phone Number | 5413826633 |
| Gender | F |
| Credential | PA |
| Graduation Year | 1999 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9335132091 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 381313 | ST CHARLES PRINEVILLE |
| 381324 | ST CHARLES MADRAS |
| Address | Phone | Organization |
|---|---|---|
| 1460 Ne Medical Ctr Dr, Bend, OR 97701-6061 | 5413826633 | CENTRAL OREGON RADIOLOGY ASSOC., P.C. |
| Organization Legal Name | CENTRAL OREGON RADIOLOGY ASSOC., P.C. |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marco A Ugas | Diagnostic Radiology | Central Oregon Radiology Assoc., P.C. | 1460 Ne Medical Ctr Dr, Bend, OR 97701-6061 |
| Benjamin S English | Diagnostic Radiology | Central Oregon Radiology Assoc., P.C. | 1460 Ne Medical Ctr Dr, Bend, OR 97701-6061 |
| Patrick B Brown | Diagnostic Radiology | Central Oregon Radiology Assoc., P.C. | 1460 Ne Medical Ctr Dr, Bend, OR 97701-6061 |
| Cloe F Shelton | Diagnostic Radiology | Central Oregon Radiology Assoc., P.C. | 1460 Ne Medical Ctr Dr, Bend, OR 97701-6061 |
| James F Johnson | Diagnostic Radiology | Central Oregon Radiology Assoc., P.C. | 1460 Ne Medical Ctr Dr, Bend, OR 97701-6061 |
| David R Zulauf | Diagnostic Radiology | Central Oregon Radiology Assoc., P.C. | 1460 Ne Medical Ctr Dr, Bend, OR 97701-6061 |
| Street Address |
1460 NE MEDICAL CTR DR |
| City | BEND |
| State | OR |
| Zip | 97701-6061 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marco A Ugas | Diagnostic Radiology | Central Oregon Radiology Assoc., P.C. | 1460 Ne Medical Ctr Dr, Bend, OR 97701-6061 |
| Benjamin S English | Diagnostic Radiology | Central Oregon Radiology Assoc., P.C. | 1460 Ne Medical Ctr Dr, Bend, OR 97701-6061 |
| Stephen M Shultz | Diagnostic Radiology | Central Oregon Magnetic Resonance Imaging LLC | 1460 Ne Medical Ctr Dr, Suite 170, Bend, OR 97701-6061 |
| Patrick B Brown | Diagnostic Radiology | Central Oregon Radiology Assoc., P.C. | 1460 Ne Medical Ctr Dr, Bend, OR 97701-6061 |
| Maureen S. Filipek | Diagnostic Radiology | Central Oregon Magnetic Resonance Imaging LLC | 1460 Ne Medical Ctr Dr, Suite 170, Bend, OR 97701-6061 |
| Dana J Mann | Diagnostic Radiology | Central Oregon Magnetic Resonance Imaging LLC | 1460 Ne Medical Ctr Dr, Suite 170, Bend, OR 97701-6061 |
| Cloe F Shelton | Diagnostic Radiology | Central Oregon Radiology Assoc., P.C. | 1460 Ne Medical Ctr Dr, Bend, OR 97701-6061 |
| James F Johnson | Diagnostic Radiology | Central Oregon Radiology Assoc., P.C. | 1460 Ne Medical Ctr Dr, Bend, OR 97701-6061 |
| David R Zulauf | Diagnostic Radiology | Central Oregon Radiology Assoc., P.C. | 1460 Ne Medical Ctr Dr, Bend, OR 97701-6061 |
| 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 | PHYSICIAN ASSISTANT |
| City + Specialty | BEND + PHYSICIAN ASSISTANT |
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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.