CENTRAL OREGON RADIOLOGY ASSOC., P.C. (NPI# 1659970168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659970168 |
| Entity Type | Organization |
| Organization Name | CENTRAL OREGON RADIOLOGY ASSOC., P.C. |
| Practice Address |
1475 Sw Chandler Ave Ste 202 Bend OR 97702-3240 |
| Mailing Address |
1460 Ne Medical Center Dr Bend OR 97701-6061 |
| Practice Telephone | 5413125522 |
| Practice Fax Number | 5413822719 |
| Mailing Telephone | 5413826633 |
| Mailing Fax Number | 5413822719 |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |
| Authorized Official Name | JAMIE DYER (CHIEF PATIENT ADMIN SRVS OFFICER) |
| Authorized Official Telephone | 5415983232 |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRAL OREGON RADIOLOGY ASSOC PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CORA Vascular Interventional Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477590081 | Central Oregon Radiology Assoc., P.C. | Radiology | 1460 Ne Medical Center Dr, Bend, OR 97701-6061 | 2006-06-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CENTRAL OREGON RADIOLOGY ASSOC., P.C. | 1460 Ne Medical Center Dr, Bend, OR 97701-6061 |
| Oregon Corporations, Companies and Business Names | CENTRAL OREGON RADIOLOGY ASSOC., P.C. | 1460 Ne Medical Center Dr, Bend, OR 97701 |
| Street Address |
1475 SW CHANDLER AVE STE 202 |
| City | BEND |
| State | OR |
| Zip Code | 97702-3240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528275658 | Stephanie Edian Wold-christensen | Dentist | 1475 Sw Chandler Ave Ste 202, Bend, OR 97702-3240 | 2007-05-17 |
| 1669742441 | Struble Orthodontics, LLC | Dentist | 1475 Sw Chandler Ave Ste 202, Bend, OR 97702-3240 | 2012-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
| 1497385215 | Capacity Performance Therapy | Physical Medicine & Rehabilitation | 61125 Lodgepole Dr., Bend, OR 97702 | 2020-01-21 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
| 1013485754 | Elana Leah Pesah | Social Worker | 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 | 2018-11-12 |
| 1104303239 | Kyleigh Mcvey | Massage Therapist | 999 Sw Disk Dr, Bend, OR 97702 | 2018-07-21 |
| 1477042869 | Siloe Castaneda Huerta | Counselor | 1340 Nw Wall, Bend, Or, Bend, OR 97702 | 2018-05-02 |
| 1164910808 | Rebecca M Joyce | Social Worker | 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 | 2018-04-27 |
| 1093217978 | Jennifer Bury | Acupuncturist | 296 Sw Columbia St Ste D1, Bend, OR 97702 | 2018-03-06 |
| Find all providers in zip 97702 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932621588 | Cascade Medical Imaging LLC | Radiology | 61270 Se Coombs Pl Ste 100, Bend, OR 97702-3704 | 2017-07-14 |
| 1003338963 | Central Oregon Magnetic Resonance Imaging LLC | Radiology | 61270 Se Coombs Pl Ste 150, Bend, OR 97702-3704 | 2017-07-12 |
| 1740713908 | Radiology Associates, PC | Radiology | 60472 Snap Shot Loop, Bend, OR 97702-2539 | 2017-04-05 |
| 1023164613 | Brant David Wommack | Radiology | 1460 Ne Medical Ctr Dr, Bend, OR 97701-6061 | 2007-01-26 |
| 1114084019 | Zeke Hendricks | Radiology | 60625 Teton Ct, Bend, OR 97702-9324 | 2007-01-02 |
| 1124031042 | David R Zulauf | Radiology | 1460 Ne Medical Center Drive, Bend, OR 97701 | 2006-08-14 |
| 1114900438 | Traci Lynn Clautice-engle | Radiology | 1460 Ne Medical Center Dr, Bend, OR 97701-6061 | 2005-11-21 |
| 1043846538 | Richard Rotondi | Radiology | 2052 Ne 4th St, Bend, OR 97701-3825 | 2020-03-17 |
| 1659813392 | Medford Radiological Group PC | Radiology | 1501 Ne Medical Center Dr, Bend, OR 97701-6051 | 2016-11-11 |
| 1508201336 | Jozef M. Brozyna | Radiology | 1460 Ne Medical Center Dr, Bend, OR 97701-6061 | 2013-05-07 |
| 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.