DR. JEREMY DAVID FLAGEL (NPI# 1154354629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154354629 |
| Entity Type | Individual |
| Full Name | DR. JEREMY DAVID FLAGEL |
| Credential | MD |
| Practice Address |
1885 Ne Purcell Blvd Bend OR 97701-6022 |
| Mailing Address |
23 Shady Tree Ct York PA 17402-4620 |
| Practice Telephone | 5417062715 |
| Mailing Telephone | 2067135610 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD452028 | PA | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD166314 | OR | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A96061 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 102958665 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 23 Shady Tree Ct, York, PA 174024620 | 2067135610 |
| Street Address |
1885 NE PURCELL BLVD |
| City | BEND |
| State | OR |
| Zip Code | 97701-6022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861490963 | Magnus Lakovics | Psychiatry & Neurology | 1885 Ne Purcell Blvd, Bend, OR 97701-6022 | 2005-07-12 |
| 1366847535 | Rebecca Winters | Counselor | 1885 Ne Purcell Blvd, Bend, OR 97701-6022 | 2014-10-29 |
| 1609280387 | Joel Robert Saul | Psychiatry & Neurology | 1885 Ne Purcell Blvd, Bend, OR 97701-6022 | 2014-06-20 |
| 1972947596 | Linda J Kelly | Social Worker | 1885 Ne Purcell Blvd, Bend, OR 97701-6022 | 2013-04-25 |
| 1235449463 | Matthew Todd Boire | Psychiatry & Neurology | 1885 Ne Purcell Blvd, Bend, OR 97701-6022 | 2010-10-21 |
| 1154506814 | St. Charles Health System, Inc. | General Acute Care Hospital | 1885 Ne Purcell Blvd, Bend, OR 97701-6022 | 2007-12-31 |
| 1003939885 | Cascade Healthcare Community | Psychiatric Residential Treatment Facility | 1885 Ne Purcell Blvd, Bend, OR 97701-6022 | 2007-04-09 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144292590 | Michael L Bell | Psychiatry & Neurology | 2349 Ne Conners Ave, Bend, OR 97701-6068 | 2006-02-01 |
| 1255330031 | Richard Lynn Koller | Psychiatry & Neurology | 2863 Nw Crossing Dr Ste 100, Bend, OR 97701-7189 | 2005-07-14 |
| 1063981835 | Cep America - Neurology PC | Psychiatry & Neurology | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2018-11-21 |
| 1922316561 | Bend Neurological Associates LLC | Psychiatry & Neurology | 2349 Ne Conners Ave, Bend, OR 97701-6068 | 2010-09-16 |
| 1033230800 | Jeremiah W Lanford | Psychiatry & Neurology | 2450 Ne Mary Rose Pl Ste 210, Bend, OR 97701-7133 | 2007-04-02 |
| 1649314253 | Neurology of Bend LLC | Psychiatry & Neurology | 2421 Ne Doctors Dr, Bend, OR 97701-6031 | 2007-02-16 |
| 1578634051 | Steven Goins | Psychiatry & Neurology | 2500 Ne Neff Rd, Bend, OR 97701 | 2006-11-13 |
| 1497760995 | Francena Diane Abendroth | Psychiatry & Neurology | 1501 Ne Medical Center Dr, Bend, OR 97701-6051 | 2006-07-31 |
| 1053369884 | Laura Joelle Schaben | Psychiatry & Neurology | 2349 Ne Conners Ave, Bend, OR 97701-6068 | 2006-05-04 |
| 1942261201 | Gary D Buchholz | Psychiatry & Neurology | 2349 Ne Conners Ave, Bend, OR 97701-6068 | 2006-03-28 |
| 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.