Scott X Stevens (NPI# 1447235916, PAC ID# 5799809133) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1447235916 |
| PAC ID by PECOS | 5799809133 |
| Professional Enrollment ID | I20100907001148 |
| Full Name | Scott X Stevens |
| Organization Legal Name | BEND OPHTHALMOLOGY |
| Address |
2275 Ne Doctors Dr Suite 6 Bend OR 97701-6092 |
| Phone Number | 5413893166 |
| Gender | M |
| Medical School | ORAL ROBERTS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 5991776908 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380047 | ST CHARLES MEDICAL CENTER - BEND |
| Address | Phone | Organization |
|---|---|---|
| 2275 Ne Doctors Dr, Suite 6, Bend, OR 97701-6092 | 5413893166 | BEND OPHTHALMOLOGY |
| Organization Legal Name | BEND OPHTHALMOLOGY |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James T Banta | Ophthalmology | Bend Ophthalmology | 2357 Ne Conners Ave, Suite 101, Bend, OR 97701-6068 |
| Jason W Dimmig | Ophthalmology | Bend Ophthalmology | 2275 Ne Doctors Dr, Suite 6, Bend, OR 97701-6092 |
| Nancy M Bonetto | Optometry | Bend Ophthalmology | 2275 Ne Doctors Dr, Suite 6, Bend, OR 97701-6092 |
| Darcy C Balcer | Optometry | Bend Ophthalmology | 2275 Ne Doctors Dr, Suite 6, Bend, OR 97701-6092 |
| Street Address |
2275 NE DOCTORS DR SUITE 6 |
| City | BEND |
| State | OR |
| Zip | 97701-6092 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lara E Stock | Nurse Practitioner | St Charles Health System Inc | 2275 Ne Doctors Dr, 7 Anticoag Clinic, Bend, OR 97701-6092 |
| Jason W Dimmig | Ophthalmology | Bend Ophthalmology | 2275 Ne Doctors Dr, Suite 6, Bend, OR 97701-6092 |
| Nancy M Bonetto | Optometry | Bend Ophthalmology | 2275 Ne Doctors Dr, Suite 6, Bend, OR 97701-6092 |
| Darcy C Balcer | Optometry | Bend Ophthalmology | 2275 Ne Doctors Dr, Suite 6, Bend, OR 97701-6092 |
| Jana M Vanamburg | General Surgery | 2275 Ne Doctors Dr, Suite 7, Bend, OR 97701-6324 |
| 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 | OPHTHALMOLOGY |
| City + Specialty | BEND + OPHTHALMOLOGY |
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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.