Active NPI
Eric Choffel, BS, RPA/RA
- Medical Physician Assistant
- Bend, OR
National Provider Identifier
1306265293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 903263
- Practice address
- 1460 NE Medical Center Dr
Bend, OR 97701-6061 - Phone
- (541) 382-6633
- Fax
- (541) 383-4577
- NPI assigned
- Apr 8, 2014
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 903263 | OR | Primary |
Addresses
Primary practice location
1460 NE Medical Center Dr
Bend, OR 97701-6061
Mailing address
1460 NE Medical Center Dr
Bend, OR 97701-6061
Phone (541) 382-6633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 903263 | OR | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396915200000",
"number": "1306265293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1460 NE MEDICAL CENTER DR",
"city": "BEND",
"state": "OR",
"postal_code": "977016061",
"telephone_number": "541-382-6633",
"fax_number": "541-383-4577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 NE MEDICAL CENTER DR",
"city": "BEND",
"state": "OR",
"postal_code": "977016061",
"telephone_number": "541-382-6633",
"fax_number": "541-383-4577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOFFEL",
"first_name": "ERIC",
"credential": "BS, RPA/RA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-08",
"last_updated": "2014-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OR",
"license": "903263",
"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 Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.