NPIMap

Organization Active NPI

Cardiothoracic Surgeons, PC

  • Specialist
  • Bend, OR
National Provider Identifier
1679503312
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CARDIOTHORACIC SURGEONS, PC
Practice address
2705 NE Conners Ave
#100
Bend, OR 97701-6904
Phone
(541) 388-1636
NPI assigned
Jul 4, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Angelo A Vlessis, MD,PHDNPI 1043237084
Title
Ceo
Phone
(541) 388-1636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X OR Primary

Addresses

Primary practice location

2705 NE Conners Ave
#100
Bend, OR 97701-6904

Mailing address

3113 NW Craftsman Dr
Bend, OR 97701-8337

National Provider Directory

National Provider Directory

Locations

2705 NE Conners Ave
Ste 100
Bend, OR 97701

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1679503312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 NW CRAFTSMAN DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977018337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 NE CONNERS AVE",
            "address_2": "#100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016904",
            "telephone_number": "541-388-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOTHORACIC SURGEONS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VLESSIS",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-388-1636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD,PHD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 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.

Verify at the official NPI Registry.