Active NPI
Ian Odgear, AU.D.
- Audiologist
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 030857
- Practice address
- 2205 NW Shevlin Park Rd
Bend, OR 97703-7195 - Phone
- (541) 678-5698
- NPI assigned
- Jun 15, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 030857 | OR | Primary |
Addresses
Primary practice location
2205 NW Shevlin Park Rd
Bend, OR 97703-7195
Mailing address
2205 NW Shevlin Park Rd
Bend, OR 97703-7195
Phone (541) 678-5698
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030857 | OR | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zimmerman Group, LLC | Audiologist | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients |
Locations
2205 NW Shevlin Park Rd
Bend, OR 97703
Phone (541) 678-5698
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000
7101 NE 137th Ave
Ofc
Vancouver, WA 98682
Phone (360) 944-2700
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
WA
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
-
- Audiologist
- Bend, OR
- NPI 1790441889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465948800000",
"number": "1225488786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2205 NW SHEVLIN PARK RD",
"city": "BEND",
"state": "OR",
"postal_code": "977037195",
"telephone_number": "541-678-5698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2205 NW SHEVLIN PARK RD",
"city": "BEND",
"state": "OR",
"postal_code": "977037195",
"telephone_number": "541-678-5698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODGEAR",
"first_name": "IAN",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-15",
"last_updated": "2016-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OR",
"license": "030857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.