DESCHUTES FAMILY CARE, LLC (NPI# 1740654086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740654086 |
| Entity Type | Organization |
| Organization Name | DESCHUTES FAMILY CARE, LLC |
| Other Organization Name | DESCHUTES FAMILY CARE |
| Practice Address |
1345 Nw Wall St Suite 302 Bend OR 97703-1972 |
| Practice Telephone | 5413233960 |
| Practice Fax Number | 5413233961 |
| Mailing Telephone | 5413233960 |
| Mailing Fax Number | 5413233961 |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2015-11-24 |
| Authorized Official Name | DR. MARK EDWARD GONSKY (OWNER) |
| Authorized Official Telephone | 5413233960 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
DO 155003 | OR | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Deschutes Family Care | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | DESCHUTES FAMILY CARE, LLC | 1345 Nw Wall St, Suite 302, Bend, OR 97703 |
| Street Address |
1345 NW WALL ST SUITE 302 |
| City | BEND |
| State | OR |
| Zip Code | 97703-1972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497750319 | Joseph A Barrett | Psychiatry & Neurology | 1345 Nw Wall St, Suite 200, Bend, OR 97701-1972 | 2005-06-16 |
| 1134526775 | New Focus, PC | Psychiatry & Neurology | 1345 Nw Wall St, Suite 200, Bend, OR 97701-1972 | 2014-11-25 |
| 1821432659 | Matthew Truhan | Acupuncturist | 1345 Nw Wall St, #202, Bend, OR 97701-1972 | 2013-04-23 |
| 1548529365 | Timothy S Hofeldt Md PC | Psychiatry & Neurology | 1345 Nw Wall St, Suite 200, Bend, OR 97701-1972 | 2012-05-14 |
| 1275809600 | Integral Psychiatry PC | Psychiatry & Neurology | 1345 Nw Wall St, Suite 200, Bend, OR 97701-1972 | 2012-03-29 |
| 1841464203 | Mark Edward Gonsky | Family Medicine | 1345 Nw Wall St, Suite 302, Bend, OR 97703-1970 | 2008-04-16 |
| 1801940499 | Gurpreet Chopra | Psychiatry & Neurology | 1345 Nw Wall St, Suite #200, Bend, OR 97701-1972 | 2007-01-22 |
| 1801844790 | W Lawrence Campbell | Psychiatry & Neurology | 1345 Nw Wall St, Suite 200, Bend, OR 97701-1972 | 2006-05-04 |
| 1811997018 | Anthony J Monteverdi | Psychiatry & Neurology | 1345 Nw Wall St, Suite 200, Bend, OR 97701-1972 | 2005-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285250704 | Elizabeth Jane Lindt | Counselor | 63311 Jamison Street, Bend, OR 97703 | 2020-06-20 |
| 1790318145 | Leah Alice Williamson | Counselor | 118 Nw Thurston Ave, Bend, OR 97703 | 2020-02-13 |
| 1831658301 | Pretty Moments Lingerie, LLC | Durable Medical Equipment & Medical Supplies | 63455 N Hwy 97 Suite 44, Bend, OR 97703 | 2019-03-14 |
| 1821561150 | Kevin Hallmeyer | Chiropractor | 750 Nw Charbonneau St., Suite 101, Bend, OR 97703 | 2019-01-09 |
| 1346743267 | Jesse Maggie Mae Abraham | Massage Therapist | 39 Nw Lousiana Ave, Bend, OR 97703 | 2018-03-16 |
| 1891202396 | Jerod Paul Michael | Speech-Language Pathologist | 2736 Nw Crossing Dr, Ste. 120, Bend, OR 97703 | 2018-01-05 |
| 1952823023 | Dan Packman | Massage Therapist | 2955 N. Hwy 97, Ste 105, Riverside Wellness, Voila Massage, Bend, OR 97703 | 2017-07-11 |
| 1023460102 | Brennon Patrick Moore | Counselor | 835 Nw Bond St Ste 100, Bend, OR 97703 | 2016-07-12 |
| 1093160269 | Eric Hinds | Optometrist | 63455 N Highway 97 Ste 75, Bend, OR 97703 | 2016-04-25 |
| 1417316191 | Ronald Guiley Od, Mph, PC | Clinic/Center | 63455 N Hwy 97, Ste 75, Bend, OR 97703 | 2016-02-23 |
| Find all providers in zip 97703 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477051795 | Hearthside Medicine Family Care LLC | Clinic/Center | 205 Nw Franklin Ave, Bend, OR 97703-2801 | 2018-02-01 |
| 1679941736 | Shanna Geigle | Clinic/Center | 2275 Ne Doctors Dr Ste 1a, Bend, OR 97701 | 2015-09-07 |
| 1639561889 | Functional Medicine of Bend PC | Clinic/Center | 497 Sw Century Dr. #120, Bend, OR 97702 | 2015-02-25 |
| 1164768123 | J.c. Morris, Dc,pc | Clinic/Center | 142 Nw Hawthorne Ave, Bend, OR 97701-2918 | 2012-12-19 |
| 1487129235 | Journey Health, Inc | Clinic/Center | 2955 N Hwy 97, Bend, OR 97703-7559 | 2018-10-09 |
| 1700301447 | Lumos Medical Center LLC | Clinic/Center | 335 Ne Revere Ave, Bend, OR 97701 | 2017-08-03 |
| 1518213149 | Bonnie Jean Skakel | Clinic/Center | 62930 O B Riley Rd, Suite 300, Bend, OR 97701-9458 | 2012-08-01 |
| 1700106986 | Weeks Family Medicine LLC | Clinic/Center | 2564 Ne Courtney Dr, Bend, OR 97701-7700 | 2010-06-10 |
| 1952598138 | Dr Linda Nordhus Dc LLC | Clinic/Center | 1900 Ne Division St, Ste 106, Bend, OR 97701-3525 | 2007-10-01 |
| 1316957129 | Cascade Internal Medicine Specialists,llc | Clinic/Center | 2239 Ne Doctors Dr Ste 200, Bend, OR 97701-7185 | 2006-08-08 |
| Find all providers in BEND | ||||
Please comment or provide details below to improve the information on DESCHUTES FAMILY CARE, LLC.
| 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.