DR. BLAKE A NONWEILER (NPI# 1912923152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912923152 |
| Entity Type | Individual |
| Full Name | DR. BLAKE A NONWEILER |
| Credential | MD |
| Practice Address |
2200 Ne Neff Rd Ste 200 Bend OR 97701-4281 |
| Mailing Address |
1650 Nw Naito Pkwy Ste 185 Portland OR 97209-2535 |
| Practice Telephone | 5413823344 |
| Practice Fax Number | 5413222286 |
| Mailing Telephone | 5035257690 |
| Mailing Fax Number | 5035257652 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
MD19775 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 077537 | 05 |
| Street Address |
2200 NE NEFF RD STE 200 |
| City | BEND |
| State | OR |
| Zip Code | 97701-4281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962465211 | Thomas John Dernbach | Physician Assistant | 2200 Ne Neff Rd Ste 200, Bend, OR 97701-4281 | 2006-04-08 |
| 1467079301 | Alexandra Claire Walker | Specialist/Technologist | 2200 Ne Neff Rd Ste 200, Bend, OR 97701-4281 | 2020-06-26 |
| 1750892261 | Nathaniel Schwab | Physician Assistant | 2200 Ne Neff Rd Ste 200, Bend, OR 97701-4281 | 2017-10-24 |
| 1457710147 | Tessa Pearl Adair | Specialist/Technologist | 2200 Ne Neff Rd Ste 200, Bend, OR 97701-4281 | 2016-02-23 |
| 1356781835 | Anthony Digirolamo | Internal Medicine | 2200 Ne Neff Rd Ste 200, Bend, OR 97701 | 2013-06-28 |
| 1356784847 | Christopher William Healy | Orthopaedic Surgery | 2200 Ne Neff Rd Ste 200, Bend, OR 97701 | 2013-04-15 |
| 1609012152 | Cody A Byrnes | Physician Assistant | 2200 Ne Neff Rd Ste 200, Bend, OR 97701-4281 | 2009-01-05 |
| 1528224441 | Michael Louis Caravelli | Orthopaedic Surgery | 2200 Ne Neff Rd Ste 200, Bend, OR 97701-4281 | 2008-07-30 |
| 1730360546 | Aaron T Ast | Physician Assistant | 2200 Ne Neff Rd Ste 200, Bend, OR 97701-4281 | 2007-11-20 |
| 1750561700 | Trebor Taylor Struble | Physician Assistant | 2200 Ne Neff Rd Ste 200, Bend, OR 97701-4281 | 2007-11-07 |
| 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 | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346633294 | Deschutes Orthopedics, LLC | Orthopaedic Surgery | 1693 Sw Chandler Ave, Suite 250, Bend, OR 97702-3236 | 2015-03-16 |
| 1811263635 | Micah B Naimark | Orthopaedic Surgery | 1303 Ne Cushing Dr Ste 100, Bend, OR 97701 | 2012-03-26 |
| 1689630816 | Cara E Walther | Orthopaedic Surgery | 1303 Ne Cushing Dr, Suite 100, Bend, OR 97701-3887 | 2006-04-25 |
| 1871566976 | Michael G Ryan | Orthopaedic Surgery | 1303 Ne Cushing Dr, Bend, OR 97701-3730 | 2006-02-09 |
| 1124090634 | Brett I Gingold | Orthopaedic Surgery | 1303 Ne Cushing Dr, Bend, OR 97701-3730 | 2006-02-07 |
| 1205813110 | Rodney Phillip Wigle | Orthopaedic Surgery | 1693 Sw Chandler Ave, Suite 250, Bend, OR 97702-3236 | 2005-12-30 |
| 1639179930 | Timothy S Bollom | Orthopaedic Surgery | 2200 Ne Neff Rd, Ste 200, Bend, OR 97701-4283 | 2005-07-28 |
| 1730184201 | Scott R Jacobson | Orthopaedic Surgery | 2200 Ne Neff Rd, Suite 200, Bend, OR 97701-4283 | 2005-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184893984 | Matthew T A Sugalski Md PC | Orthopaedic Surgery | 6542 Se Lake Road, Suite 201, Milwaukie, OR 97222-2237 | 2008-02-26 |
| 1639176480 | Stanley L James | Orthopaedic Surgery | 55 Coburg Rd, Eugene, OR 97401-2433 | 2005-07-07 |
| 1063822583 | Justin D Hudson | Orthopaedic Surgery | 600 Country Club Rd, Eugene, OR 97401-2240 | 2014-05-06 |
| 1750643060 | John C. Anderson, M.d., P.C. | Orthopaedic Surgery | 831 Nw Council Dr, Suite 130, Gresham, OR 97030-3721 | 2012-06-12 |
| 1437393949 | Jeffrey M Tuman | Orthopaedic Surgery | 55 Coburg Rd, Eugene, OR 97401-2433 | 2009-04-28 |
| 1225271133 | Milwaukie Orthopedic Service Inc | Orthopaedic Surgery | 10202 Se 32nd Ave, Suite 101, Milwaukie, OR 97222-3610 | 2009-04-08 |
| 1316103450 | Bret T Kean Md PC | Orthopaedic Surgery | 6542 Se Lake Road, Suite 201, Milwaukie, OR 97222-2237 | 2008-07-29 |
| 1083885040 | Karl R Knudsen Md PC | Orthopaedic Surgery | 2200 Bryant Williams Dr, Suite 1, Klamath Falls, OR 97601-1120 | 2008-03-18 |
| 1033317367 | Olugbenga Omotayo Sulaiman | Orthopaedic Surgery | 1200 Hilyard St, Suite 600, Eugene, OR 97401-8122 | 2007-07-09 |
| 1881818805 | Paul D. Ruesch, Md PC | Orthopaedic Surgery | 6542 Se Lake Rd, Suite 201, Milwaukie, OR 97222-2244 | 2007-04-12 |
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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.