Diabetes and Endocrinology Clinic PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD13438 Issued in OR

Legal business name

DIABETES AND ENDOCRINOLOGY CLINIC PC

Practice address

63172 Desert Sage St.
Bend, OR 97701-7529

Phone

(541) 460-0222

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Patrick James McCarthy, MDNPI 1902881006

Title

President

Phone

(541) 460-0222

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Patrick J. McCarthy, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • La Pine, OR
  • NPI 1902881006
  NPD (past) Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730286709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63172 DESERT SAGE ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017529",
            "telephone_number": "541-326-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63172 DESERT SAGE ST.",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017529",
            "telephone_number": "541-460-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES AND ENDOCRINOLOGY CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-460-0222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD13438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121319",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Marie Dewey, SLP
• Janelle Dewilde
• Diane Deyulia, MASSAGE THERAPIST
• Charles Joseph Dezort
• Brea Di Dato, FNP, PMHNP
• Diabetes and Obesity Care LLC
• Vince Diamzon, COTA/L
• Steven Diaz, PHARM.D
• Jay M Dicharry, PT
• Terri Louise Dickens Landreth, LCSW

• Specialist in Bend, OR
• Providers in Bend, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.