MR. THOMAS JOHN DERNBACH (NPI# 1962465211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962465211 |
| Entity Type | Individual |
| Full Name | MR. THOMAS JOHN DERNBACH |
| Credential | PA-C |
| Practice Address |
2200 Ne Neff Rd Ste 200 Bend OR 97701-4281 |
| Practice Telephone | 5413823344 |
| Mailing Telephone | 5413823344 |
| Mailing Fax Number | 5413222286 |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2012-05-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA01208 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500616698 | 05 |
| Street Address |
2200 NE NEFF RD STE 200 |
| City | BEND |
| State | OR |
| Zip Code | 97701-4281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1366594244 | James Roy Karmy | Orthopaedic Surgery | 2200 Ne Neff Rd Ste 200, Bend, OR 97701-4281 | 2007-01-18 |
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194357897 | Cody Manriquez | Physician Assistant | 3128 Ne Post Ave, Bend, OR 97701-7646 | 2020-02-10 |
| 1649835208 | Karly Jane Rudy | Physician Assistant | 108 Nw Sisemore St Ste 120, Bend, OR 97703-2869 | 2019-05-08 |
| 1518450931 | Johane Van Camp | Physician Assistant | 18819 Peony Pl, Bend, OR 97702-9135 | 2018-06-11 |
| 1023526423 | Hope Elizabeth Cline | Physician Assistant | 19393 Sw Laurelhurst Way, Bend, OR 97702-3192 | 2018-01-19 |
| 1659627354 | Lindsey Johnson Clark | Physician Assistant | 1693 Sw Chandler Ave Ste 250, Bend, OR 97702-3231 | 2012-07-31 |
| 1881960979 | Bdgr Surgical Assisting | Physician Assistant | 3005 Ne Roxy Pl, Bend, OR 97701-3858 | 2012-03-22 |
| 1396049680 | Jessica Lauren Dinsdale | Physician Assistant | 2090 Ne Wyatt Ct Ste 101, Bend, OR 97701-7691 | 2011-01-01 |
| 1417103268 | Adam Jeffrey Short | Physician Assistant | 1303 Ne Cushing Dr., Suite 100, Bend, OR 97701 | 2008-08-12 |
| 1881877876 | Lisa S Turner | Physician Assistant | 2275 Ne Doctors Dr Ste 2, Bend, OR 97701-6324 | 2007-12-12 |
| 1902016652 | Shelley Maurice-maier | Physician Assistant | 2597 Nw Champion Cir, Bend, OR 97701-8692 | 2007-05-23 |
| 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.