Pediatric Heart Center of Central Oregon

Primary specialty

SpecialistTaxonomy code 174400000X

License

LL10700 Issued in OR

Legal business name

PEDIATRIC HEART CENTER OF CENTRAL OREGON

Practice address

2500 NE Neff Rd
Bend, OR 97701

Phone

(541) 388-7787

Fax

(541) 322-2731

NPI assigned

Sep 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Urszula Tajchman, M.D.

Title

Physician

Phone

(541) 388-7787

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750488235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NE NEFF RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97701",
            "telephone_number": "541-388-7787",
            "fax_number": "541-322-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NE NEFF RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97701",
            "telephone_number": "541-388-7787",
            "fax_number": "541-322-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC HEART CENTER OF CENTRAL OREGON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAJCHMAN",
        "authorized_official_first_name": "URSZULA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "541-388-7787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "LL10700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287314",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dara Katherine Pearson, LPC
• Mandy Redmond Pearson
• Kelsey Pebly, LMT
• Lindsey Elizabeth Peck, ND
• Daniel Oliver Pederson, D.O.
• Pediatric Village Home Care LLC
• Cornelius Peeples, MD
• Nikki Peirtsegaele, DPT
• Alexander Pelaez
• Annette L Pelletier, 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.