Michael J. Mastrangelo PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD21444 Issued in OR

Legal business name

MICHAEL J. MASTRANGELO PC

Doing business as

Bend Surgical Associates

Practice address

2450 Mary Rose Place
Suite 210
Bend, OR 97701

Phone

(541) 383-2200

Fax

(541) 383-5170

NPI assigned

Dec 11, 2007

Last updated

Mar 3, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael J Mastrangelo Jr., MDNPI 1306802350

Title

Owner

Phone

(541) 383-2200

Specialties & licenses 1

Addresses

Other names 1

• Bend Surgical Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael J Mastrangelo, M.D.

  • Specialist
  • Bend, OR
  • NPI 1306802350
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1053594283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 MARY ROSE PLACE",
            "address_2": "SUITE 210",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97701",
            "telephone_number": "541-383-2200",
            "fax_number": "541-383-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 MARY ROSE PLACE",
            "address_2": "SUITE 210",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97701",
            "telephone_number": "541-383-2200",
            "fax_number": "541-383-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. MASTRANGELO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "MASTRANGELO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-383-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD21444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bend Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Meyrowitz, M.D.
• Michael D Henderson D O LLC (Bachelor Butte Internal Medicine)
• Michael D Tobey DC PC
• Michael E Villano MD LLC
• Michael Hoffman Counseling
• Michael Yunker LLC
• Ashley Michael, MD
• Jerod Paul Michael, MS, CCC-SLP
• Steven J Michel, MD
• Michelle Colquhoun OT, LLC

• Specialist in Bend, OR
• Providers in Bend, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.