Bend Osteopathic Care, PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

DO157442 Issued in OR

Legal business name

BEND OSTEOPATHIC CARE, PC

Practice address

147 SW Shevlin Hixon Dr
Suite 204
Bend, OR 97702-3130

Phone

(541) 706-9985

Fax

(541) 408-9853

NPI assigned

Dec 4, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Emmy W Lawrason-Kobobel, D.O.

Title

President

Phone

(541) 706-9985

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyle D Homertgen, DO

  • Family Medicine Physician
  • Bend, OR
  • NPI 1336266097
  NPD (past)

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386115200000",
    "number": "1174868020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 SW SHEVLIN HIXON DR",
            "address_2": "SUITE 204",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023130",
            "telephone_number": "541-706-9985",
            "fax_number": "541-408-9853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 SW SHEVLIN HIXON DR",
            "address_2": "SUITE 204",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023130",
            "telephone_number": "541-706-9985",
            "fax_number": "541-408-9853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEND OSTEOPATHIC CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-04",
        "last_updated": "2013-12-04",
        "status": "A",
        "authorized_official_last_name": "LAWRASON-KOBOBEL",
        "authorized_official_first_name": "EMMY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-706-9985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OR",
            "license": "DO157442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bend Nsa, PC
• Bend OB-GYN LLC
• Bend of Cascadia, LLC
• Bend Ophthalmology
• Bend Oral, Facial, and Implant Surgery
• Bend Pediatrics LLC
• Bend Physical Therapy Associates
• Bend Physical Therapy Associates
• Bend Plastic & Reconstructive Surgery, LLC
• Bend Plastic & Reconstructive Surgery, P.C.

• Medical Specialty Clinic/Center in Bend, OR
• Providers in Bend, OR by specialty
• Medical Specialty Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.