DR. GEOFFREY HARRY BUNCKE (NPI# 1295863520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295863520 |
Entity Type | Individual |
Full Name | DR. GEOFFREY HARRY BUNCKE |
Credential | M.D. |
Practice Address |
1040 Nw 22nd Ave Suite 550 Portland OR 97209 |
Mailing Address |
1040 Nw 22nd #550 Portland OR 97210 |
Practice Telephone | 5039735000 |
Practice Fax Number | 5032740188 |
Mailing Telephone | 5039735000 |
Mailing Fax Number | 5032740188 |
Enumeration Date | 2007-02-28 |
Last Update Date | 2009-06-25 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
23806 | OR | Allopathic & Osteopathic Physicians |
N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
23806 | OR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | STATE LICENSE | 23806 | 01 |
Street Address |
1040 NW 22ND AVE SUITE 550 |
City | PORTLAND |
State | OR |
Zip Code | 97209 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093717852 | Raylene Dianne Coleman | Nurse Practitioner | 1040 Nw 22nd Ave, Suite 420, Portland, OR 97210-3057 | 2005-08-11 |
1386204980 | Dorian Ariel Zeidenweber | Student in an Organized Health Care Education/Training Program | 1040 Nw 22nd Ave, Portland, OR 97210-3057 | 2019-06-17 |
1982194429 | Katherine Crawford | Dietitian, Registered | 1040 Nw 22nd Ave, Portland, OR 97210-3057 | 2018-05-10 |
1720537111 | Legacy Health | General Acute Care Hospital | 1040 Nw 22nd Ave, Suite 110, Portland, OR 97210-3057 | 2016-09-26 |
1053779801 | Tasha Nicole Searles | Clinical Nurse Specialist | 1040 Nw 22nd Ave, Suite 520, Portland, OR 97210-3057 | 2016-02-08 |
1497120380 | Martha Rissmiller | Physical Therapist | 1040 Nw 22nd Ave, Suite 520, Portland, OR 97210-3057 | 2015-12-03 |
1427436971 | Claire Hanway | Nurse Practitioner | 1040 Nw 22nd Ave, Suite 520, Portland, OR 97210-3026 | 2015-05-15 |
1629401963 | Pui Yi Boey | Ophthalmology | 1040 Nw 22nd Ave, Suite #200, Portland, OR 97210-3057 | 2013-08-09 |
1366783631 | David Larson Demill | Ophthalmology | 1040 Nw 22nd Ave, Portland, OR 97210-3057 | 2013-03-11 |
1639414410 | Dewi Kae De Jarnett | Nurse Anesthetist, Certified Registered | 1040 Nw 22nd Ave, Portland, OR 97210-3057 | 2012-12-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
Find all providers in zip 97209 |
Taxonomy Code | 2082S0105X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Plastic Surgery |
Specialization | Surgery of the Hand |
A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225215015 | Geoffrey Buncke Md PC | Plastic Surgery | 1040 Nw 22nd, Suite 550, Portland, OR 97210 | 2008-01-24 |
1952519134 | Charles D Layman Md PC | Plastic Surgery | 9155 Sw Barnes Rd, Suite 220, Portland, OR 97225-6625 | 2007-05-19 |
1952394884 | Charles Donald Layman | Plastic Surgery | 9155 Sw Barnes Rd, Ste 220, Portland, OR 97225-6625 | 2005-08-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720507007 | Zvi Margaliot | Plastic Surgery | 15390 Nw Cornell Rd Ste 225, Beaverton, OR 97006-5627 | 2017-09-18 |
1215201413 | Donald Fraser Teal | Plastic Surgery | 2835 Capital Dr, Eugene, OR 97403-1875 | 2012-03-06 |
1699772277 | Richard C. Havard | Plastic Surgery | 2298 Nw Kings Blvd, Corvallis, OR 97330-3923 | 2005-06-28 |
1992109557 | Gregory L. Combs, M.d., P.C. | Plastic Surgery | 1914 Willamette Falls Dr, Suite 210, West Linn, OR 97068-4688 | 2014-10-10 |
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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.