NPIMap

Organization Active NPI

Inovia LLC

  • Vascular Surgery Physician
  • Bend, OR
National Provider Identifier
1376753442
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD25193 Issued in OR
Legal business name
INOVIA LLC
Practice address
2200 NE Neff Rd Ste 204
Bend, OR 97701-4281
Phone
(541) 382-8346
Fax
(541) 382-5796
NPI assigned
May 23, 2007
Last updated
Oct 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Authorized official

Name
Ms. Maryliz M Chapman
Title
Administrator
Phone
(413) 828-3465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MD25193 OR Primary

Addresses

Primary practice location

2200 NE Neff Rd Ste 204
Bend, OR 97701-4281

Mailing address

2200 NE Neff Rd Ste 204
Bend, OR 97701-4281
Phone (541) 382-8346

Other practice location 1

911 NW 18th Ave
Portland, OR 97209-2324
Phone (971) 801-1370

Other practice location 2

9200 SE 91st Ave Ste 200
Happy Valley, OR 97086-3756
Phone (971) 801-1373

Other practice location 3

5289 NE Elam Young Pkwy Ste 150
Hillsboro, OR 97124-7551
Phone (971) 297-3007

Other practice location 4

7421 SW Bridgeport Rd Ste 215
Tigard, OR 97224-7707
Phone (971) 297-3007

Other identifiers 1

IdentifierTypeStateIssuer
500616902MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070703000750 OR Part B Supplier - Clinic/Group Practice 2860592854 Receives reassigned benefits from 19 practitioners
Practice locations: Beaverton, OR; Tigard, OR; Portland, OR; Bend, OR; Happy Valley, OR
O20230822000457 WA Part B Supplier - Clinic/Group Practice 2860592854 Receives reassigned benefits from 8 practitioners
Practice locations: Vancouver, WA

National Provider Directory

National Provider Directory

Locations

1700 NW 167th Pl
Ste 245
Beaverton, OR 97006
Phone (503) 447-4125

2200 NE Neff Rd
Ste 204
Bend, OR 97701
Phone (541) 382-8346

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1376753442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 NE NEFF RD STE 204",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014281",
            "telephone_number": "541-382-8346",
            "fax_number": "541-382-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NE NEFF RD STE 204",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014281",
            "telephone_number": "541-382-8346",
            "fax_number": "541-382-5796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 NW 18th Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972092324",
            "country_code": "US",
            "telephone_number": "971-801-1370",
            "fax_number": "971-544-1201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9200 SE 91st Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Happy Valley",
            "state": "OR",
            "postal_code": "970863756",
            "country_code": "US",
            "telephone_number": "971-801-1373",
            "fax_number": "971-801-1401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5289 NE Elam Young Pkwy Ste 150",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971247551",
            "country_code": "US",
            "telephone_number": "971-297-3007",
            "fax_number": "503-598-7765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7421 SW Bridgeport Rd Ste 215",
            "address_purpose": "LOCATION",
            "city": "Tigard",
            "state": "OR",
            "postal_code": "972247707",
            "country_code": "US",
            "telephone_number": "971-297-3007",
            "fax_number": "503-598-7765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INOVIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "MARYLIZ",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "413-828-3465",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OR",
            "license": "MD25193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500616902",
            "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 Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.