Stephen B Archer (NPI# 1699750307, PAC ID# 4789669854) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1699750307 |
| PAC ID by PECOS | 4789669854 |
| Professional Enrollment ID | I20040622001380 |
| Full Name | Stephen B Archer |
| Organization Legal Name | BEND MEMORIAL CLINIC PC |
| Address |
1501 Ne Medical Ctr Dr Bend OR 97701-6051 |
| Phone Number | 5413822811 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 7214936533 |
| Number of Group Practice Members | 127 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380047 | ST CHARLES MEDICAL CENTER - BEND |
| 381305 | BLUE MOUNTAIN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 | 5413822811 | BEND MEMORIAL CLINIC PC |
| Organization Legal Name | BEND MEMORIAL CLINIC PC |
| Physicians | 138 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura S Nicholson | Internal Medicine | Bend Memorial Clinic PC | 865 Sw Veterans Way, Redmond, OR 97756-2563 |
| Jonathan A Mcfadyen | Nurse Practitioner | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
| Adam N Williams | Allergy/immunology | Bend Memorial Clinic PC | 815 Sw Bond St, Suite 100, Bend, OR 97702-3593 |
| May S Fan | Family Medicine | Bend Memorial Clinic PC | 231 E Cascade Ave, Sisters, OR 97759-1140 |
| Tonya I Koopman | Nurse Practitioner | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
| Matt S Ashley | Urology | Bend Memorial Clinic PC | 2500 Ne Neff Rd, St. Charles Medical Center Bend, Bend, OR 97701-6015 |
| Jaclyn E Smith | Nurse Practitioner | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
| Scott T O Connor | Ophthalmology | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
| Michael N Harris | Internal Medicine | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
| John R Allen | Internal Medicine | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
| Street Address |
1501 NE MEDICAL CTR DR |
| City | BEND |
| State | OR |
| Zip | 97701-6051 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan A Mcfadyen | Nurse Practitioner | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
| Tonya I Koopman | Nurse Practitioner | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
| Jaclyn E Smith | Nurse Practitioner | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
| Scott T O Connor | Ophthalmology | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
| Michael N Harris | Internal Medicine | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
| John R Allen | Internal Medicine | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
| Jennifer K Mitchell | Family Medicine | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
| Christina M Bright | Rheumatology | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
| Steven D Kjobech | Diagnostic Radiology | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
| Mollie Carlson Page | Physician Assistant | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria T Allen | Physician Assistant | Neuromusculoskeletal Center of The Cascades PC | 1501 Ne Medical Clinic Dr, Bend Memorial Clinic, Bend, OR 97701 |
| Mark K Spencer | Physician Assistant | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Kimberly Ann Kleaveland | Nurse Practitioner | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Brent C Wesenberg | Emergency Medicine | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Brett I Gingold | Orthopedic Surgery | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Courtney Nicole Walker | Gastroenterology | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Katrina Cypcar | Physician Assistant | Neuromusculoskeletal Center of The Cascades PC | 1501 Ne Medical Clinic Dr, Bend Memorial Clinic, Bend, OR 97701 |
| Derek Beeson Smith | Orthopedic Surgery | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Mary P Manfredi | Internal Medicine | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Ashley Moore Mcclary | Obstetrics/gynecology | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
| Find all physicians in zip 97701 | |||
| City | BEND |
| Zip Code | 97701 |
| Specialty | GENERAL SURGERY |
| City + Specialty | BEND + GENERAL SURGERY |
Please comment or provide details below to improve the information on Stephen B Archer.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.