DESCHUTES RHEUMATOLOGY, LLC (NPI# 1316189624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316189624 |
| Entity Type | Organization |
| Organization Name | DESCHUTES RHEUMATOLOGY, LLC |
| Practice Address |
2200 Ne Neff Rd Suite 320 Bend OR 97701-2200 |
| Mailing Address |
Po Box 490 Bend OR 97709-0490 |
| Practice Telephone | 5413883978 |
| Practice Fax Number | 5412788366 |
| Mailing Telephone | 5413883978 |
| Mailing Fax Number | 5412788366 |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |
| Authorized Official Name | DAN EVAN FOHRMAN (PROVIDER/OWNER) |
| Authorized Official Telephone | 5414801727 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
MD12275 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 234203 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | DESCHUTES RHEUMATOLOGY, LLC | 2200 Ne Neff Road Suite 302, Bend, OR 97701 |
| Street Address |
2200 NE NEFF RD SUITE 320 |
| City | BEND |
| State | OR |
| Zip Code | 97701-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568465508 | Jennifer Rost | Physical Therapist | 2200 Ne Neff Rd, Ste. 202, Bend, OR 97701-4283 | 2005-05-23 |
| 1588163356 | American Medical Transit LLC | Non-emergency Medical Transport (VAN) | 2200 Ne Neff Rd, Bend, OR 97701-4283 | 2018-02-07 |
| 1215461686 | Kevin Lenoir | Physical Therapist | 2200 Ne Neff Rd, Suite 202, Bend, OR 97701-4283 | 2017-04-12 |
| 1225574064 | Sarah Clement | Specialist/Technologist | 2200 Ne Neff Rd, Suite 200, Bend, OR 97701-4283 | 2017-01-18 |
| 1740649458 | Jaron Wilson | Specialist/Technologist | 2200 Ne Neff Rd, Suite 200, Bend, OR 97701-4283 | 2016-02-23 |
| 1902281868 | Garrett Skelton | Emergency Medical Technician, Basic | 2200 Ne Neff Rd, #200, Bend, OR 97701-4283 | 2015-07-21 |
| 1285030023 | Katrina Marie Cypcar | Physician Assistant | 2200 Ne Neff Rd, Suite 200, Bend, OR 97701-4283 | 2014-11-05 |
| 1376954727 | Jeff Bernard Clausen | Orthotist | 2200 Ne Neff Rd, Ste 306, Bend, OR 97701-4283 | 2014-05-19 |
| 1821424573 | Claire Eleanor Irvine | Specialist/Technologist | 2200 Ne Neff Rd, Ste 200, Bend, OR 97701-4283 | 2013-09-25 |
| 1144652744 | Laura Schwendiman Taylor | Physical Therapist | 2200 Ne Neff Rd, Suite 202, Bend, OR 97701-4283 | 2013-08-06 |
| 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 | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053442855 | Arthritis and Osteoporsis Clinic LLC | Internal Medicine | 2200 Ne Neff Rd Ste 302, Bend, OR 97701-4279 | 2007-03-07 |
| 1245283605 | Heather L Hansen-dispenza | Internal Medicine | 2965 Ne Conners Ave Ste 127, St. Charles Rheumatology, Bend, OR 97701-7753 | 2006-05-18 |
| 1558686352 | Anthony M Kahr | Internal Medicine | 1501 Ne Medical Center Dr, Bend, OR 97701-6051 | 2010-04-05 |
| 1376689059 | Tianna L Welch | Internal Medicine | 2200 Ne Neff Rd, Suite 302, Bend, OR 97701-4283 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528295557 | Ajay Wanchu | Internal Medicine | 10101 Se Main St Ste 2011, Portland, OR 97216-2457 | 2009-06-17 |
| 1023229812 | Sarah Jan Lipton | Internal Medicine | 5050 Ne Hoyt St Ste 155, Portland, OR 97213-2956 | 2007-05-24 |
| 1871706218 | Shawn Gonda Macalester | Internal Medicine | 545 Se Oak St Ste F, Hillsboro, OR 97123-4147 | 2007-05-08 |
| 1316035728 | Drs Cassell & Boren PC | Internal Medicine | 132 E Broadway Suite 830, Drs Cassell & Boren PC, Eugene, OR 97401-3160 | 2006-10-11 |
| 1215035449 | Mollie E Thompson | Internal Medicine | 9155 Sw Barnes Rd Ste 314, Portland, OR 97225-6630 | 2006-09-20 |
| 1417068198 | Ann Marie Macasa | Internal Medicine | 402 Villa Rd, Newberg, OR 97132-1831 | 2006-08-31 |
| 1912019217 | Michelle Marie Ryan | Internal Medicine | 3620 Nw Samaritan Dr Ste 202, Corvallis, OR 97330-3785 | 2006-08-31 |
| 1093724247 | Sarah Cassell | Internal Medicine | 132 E Broadway Ste 830, Eugene, OR 97401-3181 | 2006-08-05 |
| 1639114358 | Raymond Charles Hausch | Internal Medicine | 960 Liberty St Se Ste 200, Salem, OR 97302-4195 | 2006-06-17 |
| 1003868720 | Jonathan David Jones | Internal Medicine | 3620 Nw Samaritan Dr Ste 203, Corvallis, OR 97330-4714 | 2006-05-17 |
| 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.