DERREK WOODBURY (NPI# 1235493099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235493099 |
| Entity Type | Individual |
| Full Name | DERREK WOODBURY |
| Practice Address |
1303 Ne Cushing Dr Ste 100 Bend OR 97701-3887 |
| Practice Telephone | 5413882333 |
| Practice Fax Number | 5413880930 |
| Mailing Telephone | 5413882333 |
| Mailing Fax Number | 5413880930 |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2019-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | DO190678 | OR | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 5101020102 | MI | Allopathic & Osteopathic Physicians |
| N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
5101020102 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1315 Nw 4th St, Redmond, OR 977561328 | 5413882333 | 5413880930 |
| 50 N Perry St, Pontiac, MI 483422217 | 2483385000 |
| Street Address |
1303 NE CUSHING DR STE 100 |
| City | BEND |
| State | OR |
| Zip Code | 97701-3887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568452589 | Catherine Ruth Sheldon Platt | Family Medicine | 1303 Ne Cushing Dr Ste 100, Bend, OR 97701-3887 | 2005-10-21 |
| 1295148757 | Paul Albert Shultz | Orthopaedic Surgery | 1303 Ne Cushing Dr Ste 100, Bend, OR 97701-3887 | 2014-06-03 |
| 1326481615 | Jade Sacha Helen Edwards | Internal Medicine | 1303 Ne Cushing Dr Ste 100, Bend, OR 97701-3887 | 2013-04-17 |
| 1154684504 | Courtney Nicole Walker | Internal Medicine | 1303 Ne Cushing Dr Ste 100, Bend, OR 97701-3887 | 2012-06-20 |
| 1811263635 | Micah B Naimark | Orthopaedic Surgery | 1303 Ne Cushing Dr Ste 100, Bend, OR 97701 | 2012-03-26 |
| 1215247994 | Jennifer Holly Mccleery | Physician Assistant | 1303 Ne Cushing Dr Ste 100, Bend, OR 97701 | 2010-10-15 |
| 1508183773 | Christine Leah-jean Barlow | Physician Assistant | 1303 Ne Cushing Dr Ste 100, Bend, OR 97701-3887 | 2010-04-28 |
| 1235454091 | Alison Elizabeth Freeman | Internal Medicine | 1303 Ne Cushing Dr Ste 100, Bend, OR 97701-3887 | 2010-04-05 |
| 1235267303 | Desert Bone & Joint Specialists LLP | Orthopaedic Surgery | 1303 Ne Cushing Dr Ste 100, Bend, OR 97701-3887 | 2007-03-01 |
| 1902989288 | Catherine A Rojo | Physical Medicine & Rehabilitation | 1303 Ne Cushing Dr Ste 100, Bend, OR 97701-3887 | 2006-10-23 |
| Find all providers in the same location | ||||
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
| 1346582525 | Derek Beeson Smith | Orthopaedic Surgery | 1140 Sw Simpson Ave Ste 100, Bend, OR 97702 | 2013-03-26 |
| 1588808208 | Holm W Neumann | Orthopaedic Surgery | 16825 Delicious St, Bend, OR 97701-9139 | 2009-04-24 |
| 1477112803 | Praxis Medical Group Inc | Orthopaedic Surgery | 1303 Ne Cushing Drive, Suite 100, Bend, OR 97701 | 2019-06-10 |
| 1295148757 | Paul Albert Shultz | Orthopaedic Surgery | 1303 Ne Cushing Dr Ste 100, Bend, OR 97701-3887 | 2014-06-03 |
| 1245462894 | Erin E Finter | Orthopaedic Surgery | 1303 Ne Cushing Dr, Ste 100, Bend, OR 97701-3887 | 2009-08-17 |
| 1528224441 | Michael Louis Caravelli | Orthopaedic Surgery | 2200 Ne Neff Rd Ste 200, Bend, OR 97701-4281 | 2008-07-30 |
| 1588835383 | Rod Wigle M.d., LLC | Orthopaedic Surgery | 1693 Sw Chandler Ave, 250, Bend, OR 97702-3236 | 2008-03-19 |
| 1366594244 | James Roy Karmy | Orthopaedic Surgery | 2200 Ne Neff Rd Ste 200, Bend, OR 97701-4281 | 2007-01-18 |
| 1730269341 | David Allen Brown | Orthopaedic Surgery | 2200 Ne Neff Rd, Suite 200, Bend, OR 97701-4283 | 2006-10-17 |
| 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.