Active NPI
Ricci Stefan Pardini, M.D.
- Emergency Medicine Physician
- Bend, OR
National Provider Identifier
1487767158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD23151
- Practice address
- 61250 SE Coombs PL
Bend, OR 97702-3704 - Phone
- (541) 706-5930
- Fax
- (541) 706-5931
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD23151 | OR | Primary |
Addresses
Primary practice location
61250 SE Coombs PL
Bend, OR 97702-3704
Mailing address
PO Box 1193
Corvallis, OR 97339-1193
Other practice location 1
525 N Santiam Hwy
Lebanon, OR 97355-4363
Phone (541) 258-2101
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rpardini145712@samhealth.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD23151 | OR | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medical Associates of McMinnville | Emergency Medicine | Past | Accepting new patients |
Interoperability endpoints
- rpardini19148@secure.stcharleshealthcare.org
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.
-
- Emergency Medicine Physician
- McMinnville, OR
- NPI 1629022876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668988800000",
"number": "1487767158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1193",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973391193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61250 SE COOMBS PL",
"city": "BEND",
"state": "OR",
"postal_code": "977023704",
"telephone_number": "541-706-5930",
"fax_number": "541-706-5931"
}
],
"practiceLocations": [
{
"address_1": "525 N Santiam Hwy",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "OR",
"postal_code": "973554363",
"country_code": "US",
"telephone_number": "541-258-2101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARDINI",
"first_name": "RICCI",
"middle_name": "STEFAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2022-11-21",
"certification_date": "2022-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OR",
"license": "MD23151",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rpardini145712@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "525 N Santiam Hwy",
"city": "Lebanon",
"state": "OR",
"country_code": "US",
"postal_code": "973554363",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.