Deanna M St. Germain, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO28900 Issued in OR

Practice address

1375 NW Kingston Ave
Bend, OR 97701-2242

Phone

(541) 383-5958

Fax

(541) 322-0580

NPI assigned

Jul 29, 2005

Last updated

Jan 6, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Friends of the Child Advocacy Center Inc.

  dba Kids' First Center

  • Family Medicine Physician
  • Eugene, OR
  • NPI 1679933667
  NPD
• Kids Intervention & Diagnostic Service Center, Inc.

  dba KIDS Center

  • Pediatrics Physician
  • Bend, OR
  • NPI 1790838324
  NPD (past)

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231200000000",
    "number": "1306846357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 NW KINGSTON AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977012242",
            "telephone_number": "541-383-5958",
            "fax_number": "541-322-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 NW KINGSTON AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977012242",
            "telephone_number": "541-383-5958",
            "fax_number": "541-322-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. GERMAIN",
        "first_name": "DEANNA",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2009-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO28900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Charles Health System, Inc. (St. Charles Bend)
• St. Charles Health Systems (Community Pharmacy at St. Charles Medical Center)
• St. Charles Medical Center
• Bradley Alan St. Clair, MD
• Julie Anne St. Clair, LPC
• Kayleen Patricia Staats, BCBA
• Erica Marie Staehle, D.C.
• Melinda Mrachek Staehling
• Sara Theresa Stafford, PA-S
• Sarah Stafford, PT, DPT

• Family Medicine Physician in Bend, OR
• Providers in Bend, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.