Kristin Costanzo (NPI# 1619475746, PAC ID# 7315207016) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1619475746 |
| PAC ID by PECOS | 7315207016 |
| Professional Enrollment ID | I20180126001849 |
| Full Name | Kristin Costanzo |
| Organization Legal Name | CENTER FOR LIFE CHIROPRACTIC PC |
| Address |
1004 Nw Milwaukee Ave Suite 200 Bend OR 97701-2245 |
| Phone Number | 5413129794 |
| Gender | F |
| Medical School | LIFE CHIROPRACTIC COLLEGE - WEST |
| Graduation Year | 2017 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 3375683865 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1004 Nw Milwaukee Ave, Suite 200, Bend, OR 97701-2245 | 5413129794 | CENTER FOR LIFE CHIROPRACTIC PC |
| Organization Legal Name | CENTER FOR LIFE CHIROPRACTIC PC |
| Physicians | 1 |
| Street Address |
1004 NW MILWAUKEE AVE SUITE 200 |
| City | BEND |
| State | OR |
| Zip | 97701-2245 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason A Friedman | Chiropractic | 1004 Nw Milwaukee Ave, Suite 200, Bend, OR 97701-2245 |
| 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 | CHIROPRACTIC |
| City + Specialty | BEND + CHIROPRACTIC |
Please comment or provide details below to improve the information on Kristin Costanzo.
| 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.