NPIMap

Organization Active NPI

Deschutes Orthopedics, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Bend, OR
National Provider Identifier
1346633294
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
MD19014 Issued in OR
Legal business name
DESCHUTES ORTHOPEDICS, LLC
Practice address
1693 SW Chandler Ave
Suite 250
Bend, OR 97702-3236
Phone
(541) 388-0673
Fax
(541) 388-2619
NPI assigned
Mar 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Authorized official

Name
Dr. Mary Claire Skrzynski, MDNPI 1538272869
Title
Single Member/Manager
Phone
(541) 639-7800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X MD19014 OR Primary

Addresses

Primary practice location

1693 SW Chandler Ave
Suite 250
Bend, OR 97702-3236

Mailing address

1693 SW Chandler Ave
Suite 250
Bend, OR 97702-3236
Phone (541) 388-0673

Other identifiers 2

IdentifierTypeStateIssuer
R176803OtherMEDICARE PTAN
1538272869OtherORINDIVIDUAL NPI FOR DR MARY SKRZYNSKI

National Provider Directory

National Provider Directory

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": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1346633294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1693 SW CHANDLER AVE",
            "address_2": "SUITE 250",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023236",
            "telephone_number": "541-388-0673",
            "fax_number": "541-388-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1693 SW CHANDLER AVE",
            "address_2": "SUITE 250",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023236",
            "telephone_number": "541-388-0673",
            "fax_number": "541-388-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESCHUTES ORTHOPEDICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-16",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "SKRZYNSKI",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "CLAIRE",
        "authorized_official_title_or_position": "SINGLE MEMBER/MANAGER",
        "authorized_official_telephone_number": "541-639-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "OR",
            "license": "MD19014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "R176803",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI FOR DR MARY SKRZYNSKI",
            "identifier": "1538272869",
            "state": "OR"
        }
    ],
    "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 Mar 16, 2015; 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.