Jeffrey V Absalon, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD17862 Issued in OR

Practice address

2500 NE Neff Rd
Bend, OR 97701-6015

Phone

(541) 516-3866

Fax

(541) 516-3877

NPI assigned

Feb 18, 2006

Last updated

Apr 1, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cascade Internal Medicine PS

  • Psychiatry Physician
  • Tacoma, WA
  • NPI 1700853983
  NPD (past)

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

{
    "created_epoch": "1140220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1225003833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5579",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977085579",
            "telephone_number": "541-516-3866",
            "fax_number": "541-516-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NE NEFF RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016015",
            "telephone_number": "541-516-3866",
            "fax_number": "541-516-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABSALON",
        "first_name": "JEFFREY",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-18",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD17862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063565",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Francena Diane Abendroth, MD
• Robert A Abernathy, M.D.
• Jesse Mae Abraham, LMT
• Isabelle Abrams, MSCP, BA NUTR
• Emily Abreu, MS, CCC-SLP
• Linda A Absalon, PT
• Accident Care Chiropractic and Massage of Bend (Accident Care Chiropractic)
• Mark Aceberos
• Diana R Ackerman, M.D.
• Action Dynamix Massage, 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 Apr 1, 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.