MICHELLE L FITTS (NPI# 1730355488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730355488 |
| Entity Type | Individual |
| Full Name | MICHELLE L FITTS |
| Other Name | SHELLY L FITTS |
| Credential | PA-C |
| Practice Address |
2090 Ne Wyatt Ct Suite 101 Bend OR 97701-7687 |
| Mailing Address |
Po Box 670 Bend OR 97709-0670 |
| Practice Telephone | 5413826447 |
| Practice Fax Number | 5413307413 |
| Mailing Telephone | 5413826447 |
| Mailing Fax Number | 5413307413 |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2018-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2090 NE WYATT CT SUITE 101 |
| City | BEND |
| State | OR |
| Zip Code | 97701-7687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962464271 | Nora Vanessa Takla | Urology | 2090 Ne Wyatt Ct, Suite 101, Bend, OR 97701-7687 | 2006-04-03 |
| 1104217744 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 2090 Ne Wyatt Ct, Ste 201, Bend, OR 97701-7687 | 2015-02-17 |
| 1316161680 | Meredith Rae Baker | Urology | 2090 Ne Wyatt Ct, Suite 101, Bend, OR 97701-7687 | 2007-04-11 |
| 1992838866 | Frank Cobarrubia Dpmpc | Podiatrist | 2090 Ne Wyatt Ct, Ste. 201, Bend, OR 97701-7687 | 2007-03-13 |
| 1124078738 | William J Corrigan | Urology | 2090 Ne Wyatt Ct, Suite 101, Bend, OR 97701-7687 | 2006-05-12 |
| 1831149079 | Timothy Krigbaum | Physician Assistant | 2090 Ne Wyatt Ct, Suite 101, Bend, OR 97701-7687 | 2006-05-10 |
| 1508815754 | Bend Urology Associates, LLC | Urology | 2090 Ne Wyatt Ct, Suite 101, Bend, OR 97701-7687 | 2006-05-07 |
| 1417906660 | Doctors Park Surgery Center, LLC | Clinic/Center | 2090 Ne Wyatt Ct, Suite 102, Bend, OR 97701-7687 | 2006-05-07 |
| 1629030523 | Brian Timothy O'hollaren | Urology | 2090 Ne Wyatt Ct, Suite 101, Bend, OR 97701-7687 | 2006-04-05 |
| 1518929439 | Jack Alan Brewer | Urology | 2090 Ne Wyatt Ct, Suite 101, Bend, OR 97701-7687 | 2006-04-05 |
| 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 | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285922641 | Full Circle Ventures, LLC | Physician Assistant | 62806 Baskin Ct, Bend, OR 97701-9565 | 2011-07-19 |
| 1437458163 | Lindsey R Reese | Physician Assistant | 1140 Sw Simpson Ave Ste 110, Bend, OR 97702-3789 | 2011-03-21 |
| 1346225851 | Richard Edward Lindsay | Physician Assistant | 1715 Sw Chandler Ave, Ste 100, Bend, OR 97702-3200 | 2005-12-08 |
| 1720547060 | Meredith Anne Helfrich | Physician Assistant | 1501 Ne Medical Center Dr, Bend, OR 97701-6099 | 2019-03-17 |
| 1578921003 | Elysia Churchman | Physician Assistant | 1501 Ne Medical Center Dr, Bend, OR 97701-6051 | 2016-01-28 |
| 1326418104 | Alyssa Argabright | Physician Assistant | 2090 Ne Wyatt Ct Ste 101, Bend, OR 97701-7691 | 2015-10-05 |
| 1912314352 | Christopher Wright | Physician Assistant | 2275 Ne Doctors Dr, Suite 9, Bend, OR 97701-6324 | 2014-07-17 |
| 1609281518 | Catherine Heaphy | Physician Assistant | 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092 | 2014-06-30 |
| 1235405267 | Kathryn Caba | Physician Assistant | 1303 Ne Cushing Dr, Ste 100, Bend, OR 97701-3887 | 2012-03-23 |
| 1508183773 | Christine Leah-jean Barlow | Physician Assistant | 1303 Ne Cushing Dr Ste 100, Bend, OR 97701-3887 | 2010-04-28 |
| 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.