Individual provider Active NPI

James Lee Ockner, MD

  • Diagnostic Radiology Physician
  • Bend, OR
National Provider Identifier
1366448821
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD20576 Issued in OR
Practice address
1501 NE Medical Center Dr
Bend, OR 97701-6051
Phone
(541) 317-4315
Fax
(541) 317-4335
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD20576 OR Primary

Addresses

Primary practice location

1501 NE Medical Center Dr
Bend, OR 97701-6051

Mailing address

19015 Park Commons
Bend, OR 97701
Phone (541) 317-4655

Other identifiers 1

IdentifierTypeStateIssuer
8223828MedicaidWA

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
I20060331000013 OR Practitioner - Diagnostic Radiology 6507851656 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians

Practice addresses (Care Compare)

61805 Ten Barr Ranch Rd
Bend, OR 97701-9314
Phone (380) 235-6195

7905 SE 32ND Ave
Portland, OR 97202-8556
Phone (380) 235-6195

Hospital & facility affiliations

  • Grant Medical Center Hospital, Columbus, OH, CCN 360017
  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112
  • Adena Regional Medical Center Hospital, Chillicothe, OH, CCN 360159
  • Fairfield Medical Center Hospital, Lancaster, OH, CCN 360072
  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD20576ORMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
Bend Memorial Clinic PC CurrentSince Oct 23, 2017 Accepting new patients
Bend Memorial Clinic PC CurrentSince Oct 23, 2017 Accepting new patients
Reddy Solutions Inc Past Accepting new patients
Mission Medical Imaging Diagnostic Radiology Past Accepting new patients
Reddy Solutions, Inc. Diagnostic Radiology Past Accepting new patients
Upson Medical Associates LLC Diagnostic Radiology Past Accepting new patients
Advanced Medical Imaging Center LLC Diagnostic Radiology Past Accepting new patients
Diagnostic Imaging Associates Inc Diagnostic Radiology Past Accepting new patients
Ty Cobb Healthcare System, Inc Past Accepting new patients
Ty Cobb Healthcare System Past Accepting new patients

Locations

200 E State St
Alliance, OH 44601
Phone (330) 596-6000

625 W Waterloo St
Canal Winchester, OH 43110
Phone (614) 355-3400

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

107 Royal Birkdale Dr
Ste A
Columbiana, OH 44408
Phone (330) 482-9350

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503

832 S Main St
Orrville, OH 44667
Phone (330) 456-2695

230 Medical Center Dr
Seaman, OH 45679
Phone (937) 386-3400

1932 Niles Cortland Rd NE
Ste X
Warren, OH 44484
Phone (330) 306-5371

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354

Organizations & group practices 11

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 6

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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1366448821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19015 PARK COMMONS",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97701",
            "telephone_number": "541-317-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 NE MEDICAL CENTER DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016051",
            "telephone_number": "541-317-4315",
            "fax_number": "541-317-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCKNER",
        "first_name": "JAMES",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD20576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8223828",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.