Children'S Heart Center of Central Oregon LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD23398 Issued in OR

Legal business name

CHILDREN'S HEART CENTER OF CENTRAL OREGON LLC

Practice address

2041 NE Williamson CT Ste a
Bend, OR 97701-3941

Phone

(541) 639-8333

Fax

(541) 749-2126

NPI assigned

Dec 18, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Urszula Wanda Fawcett, MD

Title

Sole Member

Phone

(541) 385-3048

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Tiffany Lim

  • Pediatric Cardiology Physician
  • Bend, OR
  • NPI 1437578341
  NPD (past)
• Urszula W Tajchman, MD

  • Pediatric Cardiology Physician
  • Bend, OR
  • NPI 1316973464

  Specialist

  NPD (past)

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1306244694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 NE WILLIAMSON CT. SUITE A",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97701",
            "telephone_number": "541-639-8333",
            "fax_number": "541-749-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 NE WILLIAMSON CT STE A",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013941",
            "telephone_number": "541-639-8333",
            "fax_number": "541-749-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HEART CENTER OF CENTRAL OREGON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "URSZULA",
        "authorized_official_middle_name": "WANDA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "541-385-3048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD23398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jade L Cherrington, DDS
• Tanner Cherry, QMHP
• Teresa Chianello, PH.D., LCSW
• Donald James Chiapetta, PT
• Karen Ruby Chiechi, LMT
• Nancy J Chin, PHARMD
• Benjamin Louis Chinburg
• Alexandria Ching, ND
• Chiropractic Family Health Care, PC
• Donna Chisholm, PT

• 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 Dec 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.