JEROD PAUL MICHAEL


Address: 2736 Nw Crossing Dr, Ste. 120, Bend, OR 97703
Phone: 5417283349

JEROD PAUL MICHAEL (NPI# 1891202396) 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) 1891202396
Entity Type Individual
Full Name JEROD PAUL MICHAEL
Credential MS, CCC-SLP
Practice Address 2736 Nw Crossing Dr, Ste. 120
Bend
OR 97703
Mailing Address 61149 South Highway 97 Pmb 630
Bend
OR 97702
Practice Telephone 5417283349
Mailing Telephone 5417283349
Enumeration Date 2018-01-05
Last Update Date 2019-03-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 15153 OR Speech, Language and Hearing Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2125 Ne Daggett Ln, Bend, OR 977016560 5413168004
60575 Billadeau Rd, Bend, OR 977029338 5413168004

Office Location

Street Address 2736 NW CROSSING DR, STE. 120
City BEND
State OR
Zip Code 97703

Providers in the same zip code

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
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
1427423300 Complete Counseling, LLC Social Worker 777 Nw Wall Street Suite 202, Bend, OR 97703 2015-12-03
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952942146 Cara Young-smith Speech-Language Pathologist 19970 Voltera Pl, Bend, OR 97702-3793 2019-09-30
1124671482 Erin Cathleen Tucker Speech-Language Pathologist 444 Ne Norton Ave Ste 102, Bend, OR 97701-4389 2019-07-16
1205496528 Connections Speech & Language, LLC Speech-Language Pathologist 2736 Nw Crossing Dr Ste 120, Bend, OR 97703-7180 2019-06-18
1619530847 Christine Chavez Speech-Language Pathologist 131 Nw Hawthorne Ave Ste 101, Bend, OR 97703-2957 2019-04-14
1629505037 Mary Burns Speech-Language Pathologist 131 Nw Hawthorne Ave Ste 103, Bend, OR 97703-2957 2017-05-16
1578916474 Alison Goin Speech-Language Pathologist 954 Ne Lena Pl, Bend, OR 97701-6259 2016-07-15
1396105706 Kathleen Malone Speech-Language Pathologist 236 Nw St Helens Pl, Bend, OR 97703-2661 2016-02-26
1053770016 Emily Dionne Speech-Language Pathologist 553 Nw Greyhawk Ave, Bend, OR 97703-5607 2016-02-18
1760841886 Kelly Hartsock Speech-Language Pathologist 930 Ne Decatur Ct, Bend, OR 97701-7617 2016-02-17
1194192963 Kristen Kane Speech-Language Pathologist 15 Nw Park Pl Ste 100, Bend, OR 97703-2977 2015-08-27
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Competitor

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City BEND
Zip Code 97703

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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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