TERRA BAHE WISSBAUM (NPI# 1801178215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801178215 |
| Entity Type | Individual |
| Full Name | TERRA BAHE WISSBAUM |
| Credential | PA |
| Practice Address |
2500 Ne Neff Rd Bend OR 97701-6015 |
| Mailing Address |
Po Box 6095 Bend OR 97708-6095 |
| Practice Telephone | 5413824321 |
| Practice Fax Number | 5417067068 |
| Mailing Telephone | 5413824321 |
| Mailing Fax Number | 5417067068 |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2020-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA180742 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
2359 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2500 NE NEFF RD |
| City | BEND |
| State | OR |
| Zip Code | 97701-6015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316942709 | Gary D Hood | Emergency Medicine | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2005-06-14 |
| 1053927871 | Chelsey Candida Gersema | Registered Nurse | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2020-09-17 |
| 1225649205 | Jaclyn Silver | Physical Therapist | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2020-08-12 |
| 1528525995 | Steven Diaz | Pharmacist | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2019-02-21 |
| 1043783269 | Cody Weidenhaft | Pharmacist | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2019-01-10 |
| 1063981835 | Cep America - Neurology PC | Psychiatry & Neurology | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2018-11-21 |
| 1447738547 | Victoria Stavish | Pharmacist | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2018-07-31 |
| 1457841173 | Regina M Joshi-mcgaw | Social Worker | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2018-05-17 |
| 1215439435 | Lesley Srikantaiah | Social Worker | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2018-03-03 |
| 1013419530 | Jaclyn Smith | Nurse Practitioner | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2018-02-28 |
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861829517 | Heidi Lind Holmes | Physician Assistant | 325 Sw Upper Terrace Dr Ste 100, Bend, OR 97702-1900 | 2013-09-26 |
| 1972588572 | Daniel Thomas Cosgro | Physician Assistant | 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092 | 2005-12-07 |
| 1902299902 | Kristine Ann Laughlin-hall | Physician Assistant | 2115 Ne Wyatt Ct Ste 101, Bend, OR 97701-7679 | 2015-03-15 |
| 1982014049 | Nicholas Andrew Williams | Physician Assistant | 929 Sw Simpson Ave, Bend, OR 97702-3599 | 2014-04-29 |
| 1306265293 | Eric Choffel | Physician Assistant | 1460 Ne Medical Center Dr, Bend, OR 97701-6061 | 2014-04-08 |
| 1053626564 | Elizabeth Jean Kaplan | Physician Assistant | 1340 Nw Wall St, Bend, OR 97701-1985 | 2010-08-10 |
| 1699001800 | Sarah Elizabeth Brown | Physician Assistant | 2600 Ne Neff Rd, Bend, OR 97701-6337 | 2009-10-22 |
| 1639368210 | Birgitta Bella | Physician Assistant | 55 Nw Wall St, Bend, OR 97701-3200 | 2007-10-18 |
| 1265521280 | Allison M Mckean | Physician Assistant | 2747 Ne Conners Ave, Bend, OR 97701-8738 | 2006-10-11 |
| 1992715924 | Steven Randall King | Physician Assistant | 1303 Ne Cushing Dr, Ste 100, Bend, OR 97701-3887 | 2006-08-09 |
| 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.