NORTHWEST COSMETIC SURGERY, LLC


Address: 777 Sw Mill View Way, Suite 100, Bend, OR 97702-1140
Phone: 5413881022

NORTHWEST COSMETIC SURGERY, LLC (NPI# 1841475803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841475803
Entity Type Organization
Organization Name NORTHWEST COSMETIC SURGERY, LLC
Practice Address 777 Sw Mill View Way
Suite 100
Bend
OR 97702-1140
Mailing Address 777 Sw Mill View Way Ste 250
Bend
OR 97702-1140
Practice Telephone 5413881022
Practice Fax Number 5413227002
Mailing Telephone 5417283184
Enumeration Date 2008-01-08
Last Update Date 2020-01-02
Authorized Official Name DR. GARY LYLE GALLAGHER (MANAGER/MEMBER)
Authorized Official Telephone 4172831845
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208200000X Plastic Surgery MD21961 OR Allopathic & Osteopathic Physicians

Office Location

Street Address 777 SW MILL VIEW WAY
SUITE 100
City BEND
State OR
Zip Code 97702-1140

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208200000X
Grouping Allopathic & Osteopathic Physicians
Classification Plastic Surgery

Taxonomy Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073891172 Amanda K Nelson Plastic Surgery 777 Sw Mill View Way Ste 100, Bend, OR 97702 2011-07-25
1811284433 Ivan Nicolas Vial Plastic Surgery 2450 Ne Mary Rose Pl Ste 201, Bend, OR 97701-7133 2011-07-03
1770624371 Gary Lyle Gallagher Plastic Surgery 777 Sw Mill View Way Ste 250, Bend, OR 97702-1140 2007-02-08
1871577643 Linda Joann Leffel Plastic Surgery 1715 Sw Chandler Avenue, Suite 100, Bend, OR 97702 2005-12-05
1851939953 Northwest Cosmetic Surgery Holdings LLC Plastic Surgery 777 Sw Mill View Way Ste 100, Bend, OR 97702-1140 2019-12-19
1639614951 Invmd Plastic Surgery LLC Plastic Surgery 2450 Ne Mary Rose Pl, Ste 200, Bend, OR 97701-7132 2016-12-21
1235307265 Cascade Center for Plastic & Recon Surgery Plastic Surgery 2100 Ne Neff Rd, Suite A, Bend, OR 97701-6213 2008-02-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1437573185 Portland Plastic Surgery Group, LLC Plastic Surgery 1200 Nw Naito Pkwy Ste 310, Portland, OR 97209-2829 2014-02-14
1811255250 Richard Sean Mcnally Plastic Surgery 5050 Ne Hoyt St Ste 422, Portland, OR 97213 2012-04-23
1942507819 James A Kilgore Md, PC Plastic Surgery 19250 Sw 65th Ave Ste 365, Tualatin, OR 97062-7747 2011-02-11
1710140215 Shiliang Chang Plastic Surgery 3303 Sw Bond Ave Ste 5, Portland, OR 97239-4501 2008-07-03
1770742207 Christopher Stephen Zarella Plastic Surgery 501 N Graham St Ste 300, Portland, OR 97227-2008 2008-06-09
1093937468 Margo S Herron Plastic Surgery 638 N Main St Ste C, Ashland, OR 97520-1887 2007-05-03
1871623678 Shane Christopher Kim Plastic Surgery 1130 Nw 22nd Ave Ste 420, Portland, OR 97210-2995 2007-03-07
1922160183 John Sukwoo Lee Plastic Surgery 2363 Nw Flanders St, Portland, OR 97210-3409 2006-12-14
1386721694 Tuan Anh Nguyen Plastic Surgery 15820 Quarry Rd, Lake Oswego, OR 97035-3336 2006-11-01
1609891035 Gregory Lloyd Combs Plastic Surgery 1914 Willamette Falls Dr, Suite 210, West Linn, OR 97068-4688 2006-07-13
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Competitor

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City BEND
Zip Code 97702

Improve Information

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Dataset Information

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.

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