CENTRAL OREGON PATHOLOGY CONSULTANTS, PC (NPI# 1124140926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124140926 |
| Entity Type | Organization |
| Organization Name | CENTRAL OREGON PATHOLOGY CONSULTANTS, PC |
| Practice Address |
1348 Ne Cushing Dr Suite 200 Bend OR 97701-3876 |
| Practice Telephone | 5413827696 |
| Practice Fax Number | 5413895723 |
| Mailing Telephone | 5413827696 |
| Mailing Fax Number | 5413895723 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2008-05-28 |
| Authorized Official Name | DR. BRIAN K STEWART (SECRETARY TREASURER) |
| Authorized Official Telephone | 5413827696 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
38D0628303 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | OREGON STATE LAB NUMBER | 2391 | 01 |
| OR | CLIA | 38D0628303 | 01 |
| OR | 084004 | 05 |
| Street Address |
1348 NE CUSHING DR SUITE 200 |
| City | BEND |
| State | OR |
| Zip Code | 97701-3876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023092152 | Laurel B. Yocom | Pathology | 1348 Ne Cushing Dr, Suite 200, Bend, OR 97701-3876 | 2005-12-01 |
| 1699949222 | Irene Czyszczon | Pathology | 1348 Ne Cushing Dr, Suite 200, Bend, OR 97701-3876 | 2008-04-15 |
| 1649392366 | Central Oregon Regional Pathology Services, LLC | Spec/Tech, Pathology | 1348 Ne Cushing Dr, Suite 210, Bend, OR 97701-3876 | 2007-04-04 |
| 1619014388 | Brigitte Kate Nixon | Pathology | 1348 Ne Cushing Dr, Ste. 200, Bend, OR 97701-3876 | 2007-01-31 |
| 1174678544 | James Lewis Judd | Pathology | 1348 Ne Cushing Dr, Bend, OR 97701-3876 | 2007-01-24 |
| 1275685836 | Brian K. Stewart | Pathology | 1348 Ne Cushing Dr, Suite 200, Bend, OR 97701-3876 | 2007-01-16 |
| 1174673040 | Joseph Alton Hughes | Pathology | 1348 Ne Cushing Dr, Bend, OR 97701-3876 | 2007-01-11 |
| 1689658783 | Cheryl Younger | Pathology | 1348 Ne Cushing Dr, Bend, OR 97701-3876 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
| 1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
| 1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
| Find all providers in zip 97701 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376935528 | Stephen Maurice Russell | Pathology | 3391 Nw Panorama Dr, Bend, OR 97701-5461 | 2015-02-25 |
| 1932183878 | Bradley B Bryan | Pathology | 1348 Ne Cushing Dr Ste 200, Bend, OR 97701-3876 | 2005-12-05 |
| 1023092152 | Laurel B. Yocom | Pathology | 1348 Ne Cushing Dr, Suite 200, Bend, OR 97701-3876 | 2005-12-01 |
| 1699949222 | Irene Czyszczon | Pathology | 1348 Ne Cushing Dr, Suite 200, Bend, OR 97701-3876 | 2008-04-15 |
| 1407997596 | Stephen Pool | Pathology | 2705 Ne Conners Ave, Bend, OR 97701-8738 | 2007-02-09 |
| 1619014388 | Brigitte Kate Nixon | Pathology | 1348 Ne Cushing Dr, Ste. 200, Bend, OR 97701-3876 | 2007-01-31 |
| 1174678544 | James Lewis Judd | Pathology | 1348 Ne Cushing Dr, Bend, OR 97701-3876 | 2007-01-24 |
| 1275685836 | Brian K. Stewart | Pathology | 1348 Ne Cushing Dr, Suite 200, Bend, OR 97701-3876 | 2007-01-16 |
| 1174673040 | Joseph Alton Hughes | Pathology | 1348 Ne Cushing Dr, Bend, OR 97701-3876 | 2007-01-11 |
| 1689658783 | Cheryl Younger | Pathology | 1348 Ne Cushing Dr, Bend, OR 97701-3876 | 2005-12-01 |
| Find all providers in BEND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.