ROD LEE ELLIOTT-MULLENS (NPI# 1447271986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447271986 |
| Entity Type | Individual |
| Full Name | ROD LEE ELLIOTT-MULLENS |
| Credential | DO |
| Practice Address |
1501 Ne Medical Center Dr Bend OR 97701 |
| Mailing Address |
2474 Nw Wyeth Pl Bend OR 97701-5652 |
| Practice Telephone | 5413822811 |
| Mailing Telephone | 8307089137 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2018-08-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
DO150936 | OR | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
K9776 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
DO150936 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | CAQH ID | 10725082 | 01 |
| TX | 037600601 | 05 | |
| OR | MEDICARE | R186837 | 01 |
| OR | 500621775 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2474 Nw Wyeth Pl, Bend, OR 977015652 | 8307089137 |
| Street Address |
1501 NE MEDICAL CENTER DR |
| City | BEND |
| State | OR |
| Zip Code | 97701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467455386 | William Gert Schmidt Jr. | Internal Medicine | 1501 Ne Medical Center Dr, Bend, OR 97701-6051 | 2005-05-24 |
| 1871194340 | Jayna Rupley | Physician Assistant | 1501 Ne Medical Center Dr, Bend, OR 97701-6051 | 2020-11-02 |
| 1649882671 | David Gregory Downing | Psychologist | 1501 Ne Medical Center Dr, Bend, OR 97701-6099 | 2020-08-20 |
| 1972144913 | Bend Memorial Clinic PC | Clinical Medical Laboratory | 1501 Ne Medical Center Dr, Bend, OR 97701-6051 | 2019-10-01 |
| 1720547060 | Meredith Anne Helfrich | Physician Assistant | 1501 Ne Medical Center Dr, Bend, OR 97701-6099 | 2019-03-17 |
| 1659813392 | Medford Radiological Group PC | Radiology | 1501 Ne Medical Center Dr, Bend, OR 97701-6051 | 2016-11-11 |
| 1578921003 | Elysia Churchman | Physician Assistant | 1501 Ne Medical Center Dr, Bend, OR 97701-6051 | 2016-01-28 |
| 1457748196 | Timothy M Preston | Hospitalist | 1501 Ne Medical Center Dr, Bend, OR 97701 | 2015-04-21 |
| 1285025478 | Andrew O Jensen | Dermatology | 1501 Ne Medical Center Dr, Bend, OR 97701-6051 | 2015-02-10 |
| 1518379080 | Devon Hutton | Family Medicine | 1501 Ne Medical Center Dr, Bend, OR 97701-6051 | 2014-06-02 |
| 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 | 207RS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sleep Medicine |
| An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255618955 | Natalia Usatii | Internal Medicine | 2042 Ne Williamson Ct, Bend, OR 97701-3760 | 2011-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740590272 | Julio Roberto Noda Milla | Internal Medicine | 890 Oak St Se Ste 3060, Salem, OR 97301 | 2010-10-18 |
| 1194770370 | Daniel Bryan Root | Internal Medicine | 2228 Nw Pettygrove St, Portland, OR 97210-2608 | 2006-05-24 |
| 1043693864 | Gerald B Rich Md PC | Internal Medicine | 11790 Sw Barnes Rd Ste 330, Portland, OR 97225-5935 | 2015-06-30 |
| 1154716900 | Chloe Brandow Manchester | Internal Medicine | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2015-03-30 |
| 1528334604 | Somnique Health PC | Internal Medicine | 9450 Sw Barnes Rd, Suite# 140, Portland, OR 97225-6619 | 2012-03-22 |
| 1578873097 | Salem Sleep Medicine, PC | Internal Medicine | 925 Commercial St Se, Suite 102, Salem, OR 97302-4172 | 2010-10-18 |
| 1083855175 | Gerald B Rich, Md, PC | Internal Medicine | 11790 Sw Barnes Rd, Suite 330, Portland, OR 97225-5934 | 2009-03-19 |
| 1700088838 | Curtis R Holzgang | Internal Medicine | 9205 Sw Barnes Rd, Suite 20, Portland, OR 97225-6603 | 2007-06-01 |
| 1205958576 | Vanessa L Peterson | Internal Medicine | 10201 Se Main St, Portland Lung Clinic, Portland, OR 97216-2937 | 2007-04-05 |
| 1386754398 | Eastmoreland Ear, Nose & Throat, Clinic, LLP | Internal Medicine | 9200 Se 91st Ave, Suite 200, Portland, OR 97266-6756 | 2006-08-30 |
| 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.