Deschutes Family Care, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

DO 155003 Issued in OR

Legal business name

DESCHUTES FAMILY CARE, LLC

Practice address

1345 NW Wall St
Suite 302
Bend, OR 97703-1972

Phone

(541) 323-3960

Fax

(541) 323-3961

NPI assigned

Nov 24, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Mark Edward Gonsky, DONPI 1841464203

Title

Owner

Phone

(541) 323-3960

Specialties & licenses 1

Addresses

Other names 1

• Deschutes Family Care Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17951/brand/1/csg/1/fhir/r4

Practitioners 3

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

• Mark Edward Gonsky, DO

  • Family Medicine Physician
  • Bend, OR
  • NPI 1841464203
  Medicare reassignment NPD Authorized official
• Alexandria Gientke, AGNP

  • Family Medicine Physician
  • Bend, OR
  • NPI 1114779550
  Medicare reassignment NPD
• Joshua Seibel, PA

  • Physician Assistant
  • Bend, OR
  • NPI 1336737097
  Medicare reassignment

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1740654086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 NW WALL ST",
            "address_2": "SUITE 302",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031972",
            "telephone_number": "541-323-3960",
            "fax_number": "541-323-3961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 NW WALL ST",
            "address_2": "SUITE 302",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031972",
            "telephone_number": "541-323-3960",
            "fax_number": "541-323-3961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESCHUTES FAMILY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-24",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "GONSKY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-323-3960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "DO 155003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deschutes Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deschutes County Oregon
• Deschutes County Oregon
• Deschutes County Oregon
• Deschutes County Oregon
• Deschutes County Oregon
• Deschutes Orthopedics, LLC
• Deschutes Pain Specialists LLC
• Deschutes Pediatric Dentistry PC
• Deschutes Rheumatology, LLC
• Deschutes Surgery Center, LLC

• Primary Care Clinic/Center in Bend, OR
• Providers in Bend, OR by specialty
• Primary Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.