DR. JOEL MICHAEL DEPPER (NPI# 1194733519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194733519 |
Entity Type | Individual |
Full Name | DR. JOEL MICHAEL DEPPER |
Credential | M.D. |
Practice Address |
1250 Ne 3rd St Suite B-100 Bend OR 97701-4331 |
Practice Telephone | 5413171700 |
Practice Fax Number | 5413171777 |
Mailing Telephone | 5413171700 |
Mailing Fax Number | 5413171777 |
Enumeration Date | 2006-08-03 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
18914 | OR | Allopathic & Osteopathic Physicians |
Street Address |
1250 NE 3RD ST SUITE B-100 |
City | BEND |
State | OR |
Zip Code | 97701-4331 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205275658 | Daniel A Radatti Dds LLC | Dentist | 1250 Ne 3rd St, Ste. B-105, Bend, OR 97701-3106 | 2013-06-19 |
1881838100 | Rfh Optometric, LLC | Optometrist | 1250 Ne 3rd St, Suite B100, Bend, OR 97701-3106 | 2009-04-30 |
1265623706 | Raymond F Hardy | Optometrist | 1250 Ne 3rd St, Suite B-100, Bend, OR 97701-3106 | 2007-08-08 |
1477633840 | Daniel Angelo Radatti | Dentist | 1250 Ne 3rd St, Suite B105, Bend, OR 97701-3105 | 2006-10-17 |
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 | 207KA0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Allergy & Immunology |
Specialization | Allergy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134100092 | Kevin M Kral | Allergy & Immunology | 2065 Ne Williamson Ct, Suite A, Bend, OR 97701-3867 | 2005-11-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922304302 | Eastside Allergy Asthma & General Internal Medicine PC | Allergy & Immunology | 2850 Se Powell Blvd, Suite 206, Gresham, OR 97080-1494 | 2011-02-02 |
1164562401 | Allergy & Asthma Center of Southern Oregon PC | Allergy & Immunology | 2628 Clover St, Klamath Falls, OR 97601-1132 | 2007-02-07 |
1205976867 | Allergy & Asthma Center of Southern Oregon PC | Allergy & Immunology | 2262 Ashland St, Ashland, OR 97520-1406 | 2007-02-06 |
1952441594 | Allergy & Asthma Center of Southern Oregon PC | Allergy & Immunology | 1722 Williams Hwy, Grants Pass, OR 97527-5661 | 2007-02-06 |
1760548408 | Allergy & Asthma Center of Southern Oregon PC | Allergy & Immunology | 3860 Crater Lake Ave Ste A, Medford, OR 97504-9741 | 2006-12-28 |
1568482610 | Robert Henry Schwartz | Allergy & Immunology | 27 Ne Killingsworth St, Portland, OR 97211-2623 | 2006-07-20 |
1659317683 | John D Minor | Allergy & Immunology | 2233-f Willamette St, Allergy & Asthma Center PC, Eugene, OR 97405 | 2006-06-20 |
1568465847 | Edward Kerwin | Allergy & Immunology | 3860 Crater Lake Ave, Medford, OR 97504-9741 | 2005-05-31 |
1851954853 | Allergy & Asthma Center of Southern Oregon PC | Allergy & Immunology | 1813 W Harvard Ave, Suite 241, Roseburg, OR 97471 | 2019-04-16 |
1891905261 | Anita Tam Su | Allergy & Immunology | 545 Ne 47th Ave, Ste. 310, Portland, OR 97213-2238 | 2007-05-23 |
Find all providers with the same taxonomy |
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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.