Organization Active NPI

Cascade Center for Plastic & Recon Surgery

  • Plastic Surgery Physician
  • Bend, OR
National Provider Identifier
1235307265
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD18444 Issued in OR
Legal business name
CASCADE CENTER FOR PLASTIC & RECON SURGERY
Practice address
2100 NE Neff Rd
Suite a
Bend, OR 97701-6213
Phone
(541) 388-3006
Fax
(541) 382-7605
NPI assigned
Feb 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Richard Edward Lindsay, PA-C
Title
Administrator
Phone
(541) 480-1828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X MD18444 OR Primary

Addresses

Primary practice location

2100 NE Neff Rd
Suite a
Bend, OR 97701-6213

Mailing address

2100 NE Neff Rd
Suite a
Bend, OR 97701-6213
Phone (541) 388-3006

National Provider Directory

National Provider Directory

Locations

2100 NE Neff Rd
Ste A
Bend, OR 97701
Phone (541) 388-3006

1310 NE Cushing Dr
Ste D
Bend, OR 97701
Phone (541) 388-3006

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1235307265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 NE NEFF RD",
            "address_2": "SUITE A",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016213",
            "telephone_number": "541-388-3006",
            "fax_number": "541-382-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 NE NEFF RD",
            "address_2": "SUITE A",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016213",
            "telephone_number": "541-388-3006",
            "fax_number": "541-382-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE CENTER FOR PLASTIC & RECON SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "LINDSAY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "541-480-1828",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "OR",
            "license": "MD18444",
            "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 Feb 12, 2008; 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.