BEND SPINE & PAIN SPECIALISTS, LLC (NPI# 1316104615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316104615 |
| Entity Type | Organization |
| Organization Name | BEND SPINE & PAIN SPECIALISTS, LLC |
| Practice Address |
2041 Ne Williamson Ct Suite B Bend OR 97701-3925 |
| Practice Telephone | 5414203822 |
| Mailing Telephone | 5414203822 |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-07-29 |
| Authorized Official Name | DR. THEODORE ROWE FORD (OWNER) |
| Authorized Official Telephone | 5414203822 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | BEND SPINE & PAIN SPECIALISTS, LLC | 929 Sw Simpson Ave Ste 250, Bend, OR 97702 |
| Street Address |
2041 NE WILLIAMSON CT SUITE B |
| City | BEND |
| State | OR |
| Zip Code | 97701-3925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891703021 | Gerald E Peters Jr. | Dermatology | 2041 Ne Williamson Ct, Ste B, Bend, OR 97701-3925 | 2006-08-03 |
| 1871954214 | Peters Dermatology Center | Dermatology | 2041 Ne Williamson Ct, Ste B, Bend, OR 97701-3925 | 2016-03-13 |
| 1821419243 | Stefan Lindenau | Denturist | 2041 Ne Williamson Ct, Suite C, Bend, OR 97701-3925 | 2014-01-03 |
| 1073624094 | Ann M Reitan | Physician Assistant | 2041 Ne Williamson Ct, Ste B, Bend, OR 97701-3925 | 2006-08-31 |
| 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 | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755596 | Monarch Health and Wellness LLC | Clinic/Center | 4855 River Rd N, Keizer, OR 97303-4537 | 2020-06-23 |
| 1669875480 | Duncan Health Centers, LLC | Clinic/Center | 11900 Sw Beaverton Hillsdale Hwy, Beaverton, OR 97005-2976 | 2014-10-07 |
| 1972813962 | Columbia Pain and Spine Institute | Clinic/Center | 689 Nw Burnside Road, Gresham, OR 97030 | 2010-10-08 |
| 1528067758 | South Eugene Surgi-center, LLC | Clinic/Center | 675 E 19th Ave, Eugene, OR 97401-4304 | 2005-07-19 |
| 1215394119 | Revitalize Wellness Center | Clinic/Center | 51577 Columbia River Hwy, Suite C, Scappoose, OR 97056-8409 | 2016-01-22 |
| 1972811842 | Anita J Dekker Md, LLC | Clinic/Center | 3469 Hilyard St, Eugene, OR 97405-3815 | 2010-09-14 |
| 1104064617 | Smj Consulting, Inc | Clinic/Center | 1322 E Mcandrews Rd, Ste 101, Medford, OR 97504-6177 | 2009-01-22 |
| 1861650301 | Integrative Wellness Center, LLC | Clinic/Center | 2343 Se 44th Ave, Portland, OR 97215-3721 | 2008-05-31 |
| 1538219993 | Northwest Pain Management PC | Clinic/Center | 1322 E Mcandrews Rd, Suite 101, Medford, OR 97504-6177 | 2007-01-10 |
| 1811920366 | Middle Fork Surgery Center LLC | Clinic/Center | 360 S Garden Way, Suite 100, Eugene, OR 97401-8173 | 2006-07-08 |
| 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.