MR. DANIEL THOMAS COSGRO (NPI# 1972588572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972588572 |
| Entity Type | Individual |
| Full Name | MR. DANIEL THOMAS COSGRO |
| Other Name | MR. DAN THOMAS COSGRO |
| Credential | PA-C |
| Practice Address |
2275 Ne Doctors Dr Ste 6 Bend OR 97701-6092 |
| Mailing Address |
Po Box 5579 Bend OR 97708-5579 |
| Practice Telephone | 5417066915 |
| Practice Fax Number | 5417066733 |
| Mailing Telephone | 5417066915 |
| Mailing Fax Number | 5417062991 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2020-04-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA00492 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | PROFESSIONAL LICENSE NUMBER | 00492 | 01 |
| Street Address |
2275 NE DOCTORS DR STE 6 |
| City | BEND |
| State | OR |
| Zip Code | 97701-6092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609281518 | Catherine Heaphy | Physician Assistant | 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092 | 2014-06-30 |
| 1134462302 | Anne Onishi | Surgery | 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092 | 2013-04-05 |
| 1023369030 | Ryan Dutton | Physician Assistant | 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092 | 2012-10-01 |
| 1194098756 | Linda De Laveaga Becker | Nurse Practitioner | 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092 | 2012-02-13 |
| 1093008617 | Andrew Jon Riggle | Surgery | 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092 | 2011-05-16 |
| 1841580503 | Mary Elizabeth Condron | Surgery | 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092 | 2011-04-15 |
| 1497085922 | Bradley E Scott | Physician Assistant | 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092 | 2010-01-06 |
| 1730345331 | Marika Yedinak Gassner | Surgery | 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092 | 2008-08-03 |
| 1104029768 | Maryclare Sarff | Surgery | 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092 | 2007-06-08 |
| 1801013560 | Jennifer Marie Watters | Surgery | 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092 | 2007-04-20 |
| 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 | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285922641 | Full Circle Ventures, LLC | Physician Assistant | 62806 Baskin Ct, Bend, OR 97701-9565 | 2011-07-19 |
| 1437458163 | Lindsey R Reese | Physician Assistant | 1140 Sw Simpson Ave Ste 110, Bend, OR 97702-3789 | 2011-03-21 |
| 1346225851 | Richard Edward Lindsay | Physician Assistant | 1715 Sw Chandler Ave, Ste 100, Bend, OR 97702-3200 | 2005-12-08 |
| 1720547060 | Meredith Anne Helfrich | Physician Assistant | 1501 Ne Medical Center Dr, Bend, OR 97701-6099 | 2019-03-17 |
| 1578921003 | Elysia Churchman | Physician Assistant | 1501 Ne Medical Center Dr, Bend, OR 97701-6051 | 2016-01-28 |
| 1326418104 | Alyssa Argabright | Physician Assistant | 2090 Ne Wyatt Ct Ste 101, Bend, OR 97701-7691 | 2015-10-05 |
| 1912314352 | Christopher Wright | Physician Assistant | 2275 Ne Doctors Dr, Suite 9, Bend, OR 97701-6324 | 2014-07-17 |
| 1609281518 | Catherine Heaphy | Physician Assistant | 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092 | 2014-06-30 |
| 1235405267 | Kathryn Caba | Physician Assistant | 1303 Ne Cushing Dr, Ste 100, Bend, OR 97701-3887 | 2012-03-23 |
| 1508183773 | Christine Leah-jean Barlow | Physician Assistant | 1303 Ne Cushing Dr Ste 100, Bend, OR 97701-3887 | 2010-04-28 |
| 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.