Individual provider Active NPI

Osvaldo A. Schirripa, M.D.

  • Clinical Genetics (M.D.) Physician
  • Bend, OR
National Provider Identifier
1336264373
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
MD153157 Issued in OR
Practice address
143 SW Shevlin Hixon Dr
Suite #203
Bend, OR 97702-3189
Phone
(541) 633-7172
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X A46201 CA
Clinical Genetics (M.D.) Physician 207SG0201X MD153157 OR Primary
Clinical Molecular Genetics Physician 207SG0203X MD153157 OR
Clinical Genetics (M.D.) Physician 207SG0201X 39144 CO
Clinical Molecular Genetics Physician 207SG0203X 39144 CO

Addresses

Primary practice location

143 SW Shevlin Hixon Dr
Suite #203
Bend, OR 97702-3189

Mailing address

143 SW Shevlin Hixon Dr
Suite #203
Bend, OR 97702-3189
Phone (541) 633-7172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110711000362 OR Practitioner - Pathology 0042498313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

143 SW Shevlin Hixon Dr
Suite 203
Bend, OR 97702-3189
Phone (541) 678-5417

Hospital & facility affiliations

  • St Charles Medical Center - Bend Hospital, Bend, OR, CCN 380047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39144COMDClinical Genetics (M.D.) Physician
MD153157ORMDClinical Genetics (M.D.) Physician
A46201CAMDAnatomic Pathology Physician

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302480000000",
    "number": "1336264373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 SW SHEVLIN HIXON DR",
            "address_2": "SUITE #203",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023189",
            "telephone_number": "541-633-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 SW SHEVLIN HIXON DR",
            "address_2": "SUITE #203",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023189",
            "telephone_number": "541-633-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIRRIPA",
        "first_name": "OSVALDO",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2011-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CA",
            "license": "A46201",
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "OR",
            "license": "MD153157",
            "primary": true
        },
        {
            "code": "207SG0203X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Molecular Genetics",
            "state": "OR",
            "license": "MD153157",
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "CO",
            "license": "39144",
            "primary": false
        },
        {
            "code": "207SG0203X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Molecular Genetics",
            "state": "CO",
            "license": "39144",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.