Stephanie P Trautman (NPI# 1275744971, PAC ID# 7315010196) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1275744971 |
| PAC ID by PECOS | 7315010196 |
| Professional Enrollment ID | I20080728000186 |
| Full Name | Stephanie P Trautman |
| Organization Legal Name | MOUNTAIN WEST DERM - BLACKHART PLLC |
| Address |
2747 Ne Conners Ave Bend OR 97701-8738 |
| Phone Number | 5413825712 |
| Gender | F |
| Medical School | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
| Graduation Year | 2004 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 1153609813 |
| Number of Group Practice Members | 51 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380047 | ST CHARLES MEDICAL CENTER - BEND |
| Address | Phone | Organization |
|---|---|---|
| 2747 Ne Conners Ave, Bend, OR 97701-8738 | 5413825712 | MOUNTAIN WEST DERM - BLACKHART PLLC |
| Organization Legal Name | MOUNTAIN WEST DERM - BLACKHART PLLC |
| Physicians | 51 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexandria Noel Staub | Physician Assistant | Mountain West Derm - Blackhart Pllc | 2747 Ne Conners Ave, Bend, OR 97701-8738 |
| Irene Helen Mannering | Dermatology | Mountain West Derm - Blackhart Pllc | 640 W Moana Ln, Reno, NV 89509-4903 |
| Michael John Housley | Physician Assistant | Mountain West Derm - Blackhart Pllc | 271 Duffers Ln, Cascade, ID 83611-5506 |
| Dan E Rowe | Dermatology | Mountain West Derm - Blackhart Pllc | 3950 Gs Richards Blvd, Carson City, NV 89703-8457 |
| Doug Starley | Physician Assistant | Mountain West Derm - Blackhart Pllc | 4814 Sparks Blvd, Sparks, NV 89436-8219 |
| James H Stewart | Dermatology | Mountain West Derm - Blackhart Pllc | 7733 W Emerald St, Boise, ID 83704-9020 |
| Anthony E Albregts | Dermatology | Mountain West Derm - Blackhart Pllc | 640 W Moana Ln, Reno, NV 89509-4903 |
| Stephanie A Mcleish | Dermatology | Mountain West Derm - Blackhart Pllc | 3841 Piper St, Suite T4 020, Anchorage, AK 99508-4673 |
| Kimberly A Kolar | Dermatology | Mountain West Derm - Blackhart Pllc | 640 W Moana Ln, Reno, NV 89509-4903 |
| Amy Richelle Schoening | Physician Assistant | Mountain West Derm - Blackhart Pllc | 640 W Moana Ln, Reno, NV 89509-4903 |
| Street Address |
2747 NE CONNERS AVE |
| City | BEND |
| State | OR |
| Zip | 97701-8738 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexandria Noel Staub | Physician Assistant | Mountain West Derm - Blackhart Pllc | 2747 Ne Conners Ave, Bend, OR 97701-8738 |
| William Delgado | Dermatology | Mountain West Derm - Blackhart Pllc | 2747 Ne Conners Ave, Bend, OR 97701-8738 |
| Allison M Mckean | Physician Assistant | Mountain West Derm - Blackhart Pllc | 2747 Ne Conners Ave, Bend, OR 97701-8738 |
| James M Hoesly | Dermatology | Mountain West Derm - Blackhart Pllc | 2747 Ne Conners Ave, Bend, OR 97701-8738 |
| Fridolin J Hoesly | Dermatology | Mountain West Derm - Blackhart Pllc | 2747 Ne Conners Ave, Bend, OR 97701-8738 |
| Liesel Ernst | Physician Assistant | Mountain West Derm - Blackhart Pllc | 2747 Ne Conners Ave, Bend, OR 97701-8738 |
| Kristin J Neuhaus | Dermatology | Mountain West Derm - Blackhart Pllc | 2747 Ne Conners Ave, Bend, OR 97701-8738 |
| Joshua Stafford May | Dermatology | Mountain West Derm - Blackhart Pllc | 2747 Ne Conners Ave, Bend, OR 97701-8738 |
| Eric Krinsky | Physician Assistant | Mountain West Derm - Blackhart Pllc | 2747 Ne Conners Ave, Bend, OR 97701-8738 |
| Larry Merle Weber | Physician Assistant | Mountain West Derm - Blackhart Pllc | 2747 Ne Conners Ave, Bend, OR 97701-8738 |
| Find all physicians in the same address | |||
| 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 | DERMATOLOGY |
| City + Specialty | BEND + DERMATOLOGY |
Please comment or provide details below to improve the information on Stephanie P Trautman.
| 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.