Invmd Plastic Surgery LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

INVMD PLASTIC SURGERY LLC

Practice address

2450 NE Mary Rose PL
Ste 200
Bend, OR 97701-7132

Phone

(541) 317-0808

Fax

(541) 317-3585

NPI assigned

Dec 21, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Ivan Nicolas Vial, M.D.

Title

Sole Member

Phone

(541) 317-0808

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anna Harnish, PA-C

  • Physician Assistant
  • Bend, OR
  • NPI 1972989382
  NPD (past)
• Jennifer M Lundgren, PAC

  • Physician Assistant
  • Bend, OR
  • NPI 1417686684
  NPD (past)

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1639614951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 NE MARY ROSE PL",
            "address_2": "STE 201",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97701",
            "telephone_number": "541-317-0808",
            "fax_number": "541-317-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 NE MARY ROSE PL",
            "address_2": "STE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017132",
            "telephone_number": "541-317-0808",
            "fax_number": "541-317-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INVMD PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "VIAL",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "NICOLAS",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "541-317-0808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500719361",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Selena Iorg, RN
• Patrick Allen Irish
• Claire Eleanor Irvine, ATC
• Henry Andrew Irvine, M.D.
• Emily Irwin, LMT

• Plastic Surgery Physician in Bend, OR
• Providers in Bend, OR by specialty
• Plastic Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.